Active NPI
Baptist Health
- Rural Health Clinic/Center
- Lonoke, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BAPTIST HEALTH
- Practice address
- 757 E Front St
Lonoke, AR 72086-3219 - Phone
- (501) 266-7265
- NPI assigned
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
757 E Front St
Lonoke, AR 72086-3219
Mailing address
757 E Front St
Lonoke, AR 72086-3219
Phone (501) 266-7265
Other names 1
- Baptist Health Family Clinic - Lonoke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250624003953 | AR | Part A Provider - Rural Health Clinic | 0648177949 | Practice locations: Lonoke, AR |
Rural health clinic certification: CCN 048553
- Legal name
- BAPTIST HEALTH
- Doing business as
- BAPTIST HEALTH FAMILY CLINIC - LONOKE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 1, 2025
- Last certification
- May 1, 2025
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Enrollment address
- 757 E Front St
Lonoke, AR 72086-3219 - Related CCNs
- 040036
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
National Provider Directory
National Provider Directory- Tax ID family
- Baptist Health Fam Clinic
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Little Rock, AR
- NPI 1659971505
-
- Rural Health Clinic/Center
- Russellville, AR
- NPI 1689467102
-
- Home Health Agency
- Magnolia, AR
- NPI 1740117373
-
- Cognitive & Behavioral Psychologist
- Monticello, AR
- NPI 1760256697
-
- Home Health Agency
- Monticello, AR
- NPI 1760263990
-
- Medicare Defined Swing Bed Hospital Unit
- Arkadelphia, AR
- NPI 1760418354
-
- Psychiatric Hospital Unit
- Monticello, AR
- NPI 1770364903
-
- Rehabilitation Hospital Unit
- El Dorado, AR
- NPI 1770431090
-
- Home Health Agency
- Arkadelphia, AR
- NPI 1770695330
-
- Rural Health Clinic/Center
- Bismarck, AR
- NPI 1780094201
-
- Rural Health Clinic/Center
- Perryville, AR
- NPI 1790578219
-
- Rural Health Clinic/Center
- Heber Springs, AR
- NPI 1811388457
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry White | Corporate Officer | May 1, 2025 | |
| Baptist Health | Operational/Managerial Control | May 1, 2025 | 100% |
| Ronald Dedman | Corporate Officer | May 1, 2025 | |
| Lamarr Bailey | Corporate Officer | May 1, 2025 | |
| Herren Hickingbotham | Corporate Officer | May 1, 2025 | |
| Judy Simmons Henry | Corporate Director | May 1, 2025 | |
| Michael Akin | Corporate Director | May 1, 2025 | |
| Chris Brune | Corporate Officer | May 1, 2025 | |
| Troy Wells | Corporate Officer | Jan 18, 2018 | |
| W-2 Managing Employee | Jan 18, 2018 | ||
| Operational/Managerial Control | Jan 18, 2018 | ||
| Suzanne Peyton | Corporate Officer | May 1, 2025 | |
| John McMorran | Corporate Director | Jan 1, 2026 | |
| Lindsey Lorence | Corporate Officer | May 1, 2025 | |
| Steven Booth | Corporate Officer | May 1, 2025 | |
| David Mitchell | Corporate Officer | May 1, 2025 | |
| James S Jones | Corporate Officer | May 1, 2025 | |
| Louis M Lee | Corporate Director | Jan 1, 2026 | |
| Teresa Howell | Corporate Officer | May 1, 2025 | |
| Brent Beaulieu | Corporate Officer | Jan 18, 2018 | |
| W-2 Managing Employee | Jan 18, 2018 | ||
| Operational/Managerial Control | Jan 18, 2018 | ||
| Glenn Millner | Corporate Officer | May 1, 2025 | |
| Les Warren | Corporate Officer | May 1, 2025 |
All facility ownership & control disclosures 50
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Health Medical Center - Arkadelphia | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Arkadelphia | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center - Heber Springs | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Heber Springs | Hospital | Operational/Managerial Control | Jan 1, 1980 |
| Baptist Health Medical Center North Little Rock | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Medical Center North Little Rock | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Rehabilitation Institute | Hospital | Operational/Managerial Control | Apr 1, 1967 |
| Baptist Health Medical Center Little Rock | Hospital | Operational/Managerial Control | Feb 1, 1974 |
| Baptist Health Medical Center Little Rock | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Baptist Health Extended Care Hospital - Little Rock, Inc. | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Medical Center - Hot Spring County | Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center-Conway | Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health - Fort Smith | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Fort Smith | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Van Buren | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Medical Center - Hot Spring County | Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center - Conway | Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Stuttgart | Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Medical Center - Stuttgart | Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Home Health - Heber Springs | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Home Health - Arkadelphia | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Home Health-Little Rock | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2016 |
| Baptist Health Home Health Network - Drew County | Home health agency | Operational/Managerial Control | Dec 3, 2023 |
| Baptist Health Hospice - Little Rock | Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1990 Jan 1, 1990 |
| Baptist Health Hospice | Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Family Clinic - Greers Ferry | Rural health clinic | Operational/Managerial Control | Dec 15, 1992 |
| Baptist Health - Family Clinic Brinkley | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Clarendon | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Stuttgart Medical Clinic | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Dewitt | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Hazen | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Gurdon | Rural health clinic | Operational/Managerial Control | Apr 4, 2011 |
| Baptist Health Family Clinic - Heber Springs | Rural health clinic | Operational/Managerial Control | Sep 1, 2013 |
| Baptist Health Stuttgart Campus Clinic | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Caddo Valley | Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Bismarck | Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Prescott | Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| Baptist Health Heber Springs Campus Clinic | Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| BH Arkadelphia Medical Clinic | Rural health clinic | Operational/Managerial Control (100%) | Sep 1, 2020 |
| Baptist Health Family Clinic - Sparkman | Rural health clinic | Operational/Managerial Control | Apr 1, 2021 |
| Baptist Health Family Clinic - Malvern | Rural health clinic | Operational/Managerial Control (100%) | May 1, 2022 |
| Baptist Health Family Clinic - Alma | Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Family Clinic - Sheridan | Rural health clinic | Operational/Managerial Control (100%) | Mar 15, 2024 |
| Baptist Health Ouachita Valley Family Clinic | Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2024 |
| Baptist Health Family Clinic - Perryville | Rural health clinic | Operational/Managerial Control | Jul 1, 2025 |
| Baptist Health Family Clinic - Beebe | Rural health clinic | Operational/Managerial Control (100%) | Jul 8, 2025 |
| Baptist Health Family Clinic - Russellville | 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.
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| May 1, 2025 | Change of Ownership | Baptist Health Family Clinic-Lonoke |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Lonoke, AR
- NPI 1831150390
Acquired from, 2025-05-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1811796147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 E FRONT ST",
"city": "LONOKE",
"state": "AR",
"postal_code": "720863219",
"telephone_number": "501-266-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 E FRONT ST",
"city": "LONOKE",
"state": "AR",
"postal_code": "720863219",
"telephone_number": "501-266-7265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Family Clinic - Lonoke",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lonoke, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.