Organization Active NPI

Baptist Health

  • Rural Health Clinic/Center
  • Bismarck, AR
National Provider Identifier
1780094201
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAPTIST HEALTH
Practice address
6679 Highway 7
Bismarck, AR 71929-7179
Phone
(501) 332-1004
NPI assigned
May 6, 2014
Organization subpart
Yes
Parent organization
BAPTIST HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Troy Wells
Title
President
Phone
(501) 202-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X AR Primary

Addresses

Primary practice location

6679 Highway 7
Bismarck, AR 71929-7179

Mailing address

9601 Baptist Health Drive
Little Rock, AR 72205
Phone (501) 202-2080

Other names 1

  • Baptist Health Family Clinic - Bismarck Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140825002177 AR Part A Provider - Rural Health Clinic 0648177949 1 other NPI on this enrollment
Practice locations: Bismarck, AR
O20141030001538 AR Part B Supplier - Clinic/Group Practice 0648177949 Receives reassigned benefits from 12 practitioners
Practice locations: Bismarck, AR

Rural health clinic certification: CCN 048508

Legal name
BAPTIST HEALTH
Doing business as
BAPTIST HEALTH FAMILY CLINIC - BISMARCK
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 21, 2014
Last certification
Nov 2, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1920 in AR
Enrollment address
6679 Highway 7
BHFC Bismarck
Bismarck, AR 71929-7179
Related CCNs
041321

Facilities connected through Provider of Services related, parent or unit certification numbers.

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Fam Clinic58 organizations share this tax ID, including this one
Part of
Baptist Health Fam Clinic

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6679 Highway 7
Bismarck, AR 71929
Phone (501) 865-2855

651 Heritage Dr
Sheridan, AR 72150
Phone (870) 942-1301

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry White Individual Corporate Director Jan 1, 2026
Baptist Health Organization, Little Rock, AR Non-profit Operational/Managerial Control Jul 7, 2014
Ronald Dedman Individual Corporate Director Jan 1, 2022
Lamarr Bailey Individual Corporate Director Jan 1, 2022
Herren Hickingbotham Individual Corporate Director Jan 1, 2014
Michael Carroll Individual Corporate Director Jan 1, 2022
Judy Simmons Henry Individual Corporate Director Jan 1, 2014
Michael Akin Individual Corporate Director Jan 1, 2026
Chris Brune Individual Corporate Director Jan 1, 2026
Troy Wells Individual Corporate Director Jul 1, 2014
W-2 Managing Employee Jul 1, 2014
Suzanne Peyton Individual Corporate Director Jan 1, 2022
John McMorran Individual Corporate Director Jan 1, 2014
Lindsey Lorence Individual Corporate Director Jan 1, 2026
Steven Booth Individual Corporate Director Jan 1, 2022
David Mitchell Individual Corporate Director Jan 1, 2026
James S Jones Individual Corporate Director Jan 1, 2014
Louis M Lee Individual Corporate Director Jan 1, 2014
Teresa Howell Individual Corporate Director Jan 1, 2022
Brent Beaulieu Individual Corporate Officer Jan 18, 2018
W-2 Managing Employee Jan 18, 2018
Glenn Millner Individual Corporate Director Jan 1, 2014
Les Warren Individual Corporate Director Jan 1, 2026

All facility ownership & control disclosures 50

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Health Medical Center - ArkadelphiaArkadelphia, AR, CCN 041321 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center ArkadelphiaArkadelphia, AR, CCN 04Z321 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center - Heber SpringsHeber Springs, AR, CCN 041312 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center Heber SpringsHeber Springs, AR, CCN 04Z312 Hospital Operational/Managerial Control Jan 1, 1980
Baptist Health Medical Center North Little RockNorth Little Rock, AR, CCN 040036 Hospital Operational/Managerial Control Jul 1, 1966
Baptist Health Medical Center North Little RockNorth Little Rock, AR, CCN 04T036 Hospital Operational/Managerial Control Jul 1, 1966
Baptist Health Rehabilitation InstituteLittle Rock, AR, CCN 043026 Hospital Operational/Managerial Control Apr 1, 1967
Baptist Health Medical Center Little RockLittle Rock, AR, CCN 040114 Hospital Operational/Managerial Control Feb 1, 1974
Baptist Health Medical Center Little RockLittle Rock, AR, CCN 04S114 Hospital Operational/Managerial Control Jan 1, 1966
Baptist Health Extended Care Hospital - Little Rock, Inc.Little Rock, AR, CCN 042012 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Baptist Health Medical Center - Hot Spring CountyMalvern, AR, CCN 040076 Hospital Operational/Managerial Control Jan 1, 2014
Baptist Health Medical Center-ConwayConway, AR, CCN 040154 Hospital Operational/Managerial Control (100%) Dec 26, 2012
Baptist Health - Fort SmithFort Smith, AR, CCN 040055 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health - Fort SmithFort Smith, AR, CCN 04S055 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health - Van BurenVan Buren, AR, CCN 040018 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health Medical Center - Hot Spring CountyMalvern, AR, CCN 04U076 Hospital Operational/Managerial Control Jan 1, 2014
Baptist Health Medical Center - ConwayConway, AR, CCN 04T154 Hospital Operational/Managerial Control (100%) Dec 26, 2012
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 040051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 04S051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 04U051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - StuttgartStuttgart, AR, CCN 04Z337 Hospital Operational/Managerial Control Jan 1, 2009
Baptist Health Medical Center - StuttgartStuttgart, AR, CCN 041337 Hospital Operational/Managerial Control Jan 1, 2009
Baptist Health Home Health - Heber SpringsHeber Springs, AR, CCN 047097 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Baptist Health Home Health - ArkadelphiaArkadelphia, AR, CCN 047326 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 26, 2010
Oct 26, 2010
Baptist Health Home Health-Little RockLittle Rock, AR, CCN 047090 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2016
Baptist Health Home Health Network - Drew CountyMonticello, AR, CCN 047082 Home health agency Operational/Managerial Control Dec 3, 2023
Baptist Health Hospice - Little RockLittle Rock, AR, CCN 041520 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 1990
Jan 1, 1990
Baptist Health HospiceArkadelphia, AR, CCN 041554 Hospice 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Oct 26, 2010
Oct 26, 2010
Baptist Health Family Clinic - Greers FerryGreers Ferry, AR, CCN 043990 Rural health clinic Operational/Managerial Control Dec 15, 1992
Baptist Health - Family Clinic BrinkleyBrinkley, AR, CCN 043457 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic ClarendonClarendon, AR, CCN 043456 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Stuttgart Medical ClinicStuttgart, AR, CCN 043480 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic DewittDewitt, AR, CCN 043492 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic HazenHazen, AR, CCN 043489 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health Family Clinic - GurdonGurdon, AR, CCN 048504 Rural health clinic Operational/Managerial Control Apr 4, 2011
Baptist Health Family Clinic - Heber SpringsHeber Springs, AR, CCN 048506 Rural health clinic Operational/Managerial Control Sep 1, 2013
Baptist Health Stuttgart Campus ClinicStuttgart, AR, CCN 048505 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health Family Clinic - Caddo ValleyCaddo Valley, AR, CCN 048507 Rural health clinic Operational/Managerial Control Jul 7, 2014
Baptist Health Family Clinic - PrescottPrescott, AR, CCN 048511 Rural health clinic Operational/Managerial Control Oct 1, 2014
Baptist Health Heber Springs Campus ClinicHeber Springs, AR, CCN 048512 Rural health clinic Operational/Managerial Control Oct 1, 2014
BH Arkadelphia Medical ClinicArkadelphia, AR, CCN 048524 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2020
Baptist Health Family Clinic - SparkmanSparkman, AR, CCN 048530 Rural health clinic Operational/Managerial Control Apr 1, 2021
Baptist Health Family Clinic - MalvernMalvern, AR, CCN 048535 Rural health clinic Operational/Managerial Control (100%) May 1, 2022
Baptist Health Family Clinic - AlmaAlma, AR, CCN 048538 Rural health clinic Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health Family Clinic - SheridanSheridan, AR, CCN 048545 Rural health clinic Operational/Managerial Control (100%) Mar 15, 2024
Baptist Health Ouachita Valley Family ClinicCamden, AR, CCN 048550 Rural health clinic Operational/Managerial Control (100%) Nov 1, 2024
Baptist Health Family Clinic - LonokeLonoke, AR, CCN 048553 Rural health clinic Operational/Managerial Control (100%) May 1, 2025
Baptist Health Family Clinic - PerryvillePerryville, AR, CCN 048562 Rural health clinic Operational/Managerial Control Jul 1, 2025
Baptist Health Family Clinic - BeebeBeebe, AR, CCN 048561 Rural health clinic Operational/Managerial Control (100%) Jul 8, 2025
Baptist Health Family Clinic - RussellvilleRussellville, AR, CCN 048560 Rural health clinic Operational/Managerial Control Jul 15, 2025

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 50

Practitioners & affiliated clinicians

Practitioners 12

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": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1780094201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-202-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6679 HIGHWAY 7",
            "city": "BISMARCK",
            "state": "AR",
            "postal_code": "719297179",
            "telephone_number": "501-332-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH",
        "enumeration_date": "2014-05-06",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Family Clinic - Bismarck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Family Clinic - Bismarck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, AR

Sources for this page

Verify at the official NPI Registry.