Baxter Day Service Center, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BAXTER DAY SERVICE CENTER, INC.

Practice address

1631 Leo Davis Dr
Mountain Home, AR 72653-9661

Phone

(870) 425-4322

Fax

(870) 424-2313

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary W. Pelts

Title

Deputy Director

Phone

(870) 425-4322

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740403294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 LEO DAVIS DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539661",
            "telephone_number": "870-425-4322",
            "fax_number": "870-424-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LEO DAVIS DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539661",
            "telephone_number": "870-425-4322",
            "fax_number": "870-424-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER DAY SERVICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "870-425-4322"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Preferred Provider Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.