Organization Active NPI

Baptist Health

  • Rural Health Clinic/Center
  • Lonoke, AR
National Provider Identifier
1811796147
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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

Updated by the provider on Mar 10, 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 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Enrollment address
757 E Front St
Lonoke, AR 72086-3219
Related CCNs
040036

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

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.

View all 21

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.

NameRoleSinceShare
Larry White Individual Corporate Officer May 1, 2025
Baptist Health Organization, Little Rock, AR Corporation, Non-profit, Chain home office Operational/Managerial Control May 1, 2025 100%
Ronald Dedman Individual Corporate Officer May 1, 2025
Lamarr Bailey Individual Corporate Officer May 1, 2025
Herren Hickingbotham Individual Corporate Officer May 1, 2025
Judy Simmons Henry Individual Corporate Director May 1, 2025
Michael Akin Individual Corporate Director May 1, 2025
Chris Brune Individual Corporate Officer May 1, 2025
Troy Wells Individual Corporate OfficerPresident Jan 18, 2018
W-2 Managing Employee Jan 18, 2018
Operational/Managerial ControlPresident Jan 18, 2018
Suzanne Peyton Individual Corporate Officer May 1, 2025
John McMorran Individual Corporate Director Jan 1, 2026
Lindsey Lorence Individual Corporate Officer May 1, 2025
Steven Booth Individual Corporate Officer May 1, 2025
David Mitchell Individual Corporate Officer May 1, 2025
James S Jones Individual Corporate Officer May 1, 2025
Louis M Lee Individual Corporate Director Jan 1, 2026
Teresa Howell Individual Corporate Officer May 1, 2025
Brent Beaulieu Individual Corporate Officer Jan 18, 2018
W-2 Managing Employee Jan 18, 2018
Operational/Managerial Control Jan 18, 2018
Glenn Millner Individual Corporate Officer May 1, 2025
Les Warren Individual 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.

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 - BismarckBismarck, AR, CCN 048508 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 - 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

Change-of-ownership history 1

DateEventCounterparty
May 1, 2025 Change of OwnershipThis provider was the buyer Baptist Health Family Clinic-LonokeCCN 043918, AR, NPI 1831150390

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.