NPIMap

Organization Active NPI

Baxter County Regional Hospital Inc.

  • Rheumatology Physician
  • Mountain Home, AR
National Provider Identifier
1740450352
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
E2130 Issued in AR
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL INC.
Practice address
310 Buttercup Dr
Suite C
Mountain Home, AR 72653-2921
Phone
(870) 424-7072
Fax
(870) 508-1338
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Mr. Rudy Darling
Title
Chief Operating Officer
Phone
(870) 508-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X E2130 AR Primary

Addresses

Primary practice location

310 Buttercup Dr
Suite C
Mountain Home, AR 72653-2921

Mailing address

310 Buttercup Dr
Suite C
Mountain Home, AR 72653-2921
Phone (870) 424-7072

Other names 1

  • D/B/A BAXTER REGIONAL RHEUMATOLOGY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000689 AR Part B Supplier - Clinic/Group Practice 0042389264 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ash Flat, AR; Hardy, AR; Harrison, AR; Melbourne, AR; Mountain Home, AR; Mountain View, AR; Yellville, AR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

310 Buttercup Dr
Ste C
Mountain Home, AR 72653
Phone (870) 424-7072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1740450352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR",
            "address_2": "SUITE C",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532921",
            "telephone_number": "870-424-7072",
            "fax_number": "870-508-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR",
            "address_2": "SUITE C",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532921",
            "telephone_number": "870-424-7072",
            "fax_number": "870-508-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "DARLING",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "870-508-1018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "E2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A BAXTER REGIONAL RHEUMATOLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.