Baxter Day Service Center, Inc.

Organization Active NPI Preferred Provider Organization · Mountain Home, AR

NPI 1740403294 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1740403294
Entity type
Organization (NPI type 2)
Primary specialty
Preferred Provider Organization 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
Organization subpart
No

Authorized official

Name
Mary W. Pelts
Title
Deputy Director
Phone
(870) 425-4322

National Provider Directory

Locations

1631 Leo Davis Dr
Mountain Home, AR 72653
Phone (870) 425-4322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AR Yes

Addresses

Primary practice location

1631 Leo Davis Dr
Mountain Home, AR 72653-9661

Mailing address

1631 Leo Davis Dr
Mountain Home, AR 72653-9661
Phone (870) 425-4322

Other providers in Mountain Home, AR

All providers in Mountain Home, AR · Preferred Provider Organization in Arkansas

Sources for this page

Verify at the official NPI Registry.