NPIMap

Organization Active NPI

Baxter County Regional Hospital Inc

Doing business as Baxter Regional Internal Medicine & Infectious Disease Clin

  • Internal Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1871128116
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL INC
Doing business as
Baxter Regional Internal Medicine & Infectious Disease Clin
Practice address
310 Buttercup Dr
Suite C
Mountain Home, AR 72653
Phone
(870) 508-6977
Fax
(870) 508-1615
NPI assigned
Mar 6, 2020
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Amy Swallow
Title
Physician Network Manager
Phone
(870) 508-6977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Infectious Disease Physician 207RI0200X NU

Addresses

Primary practice location

310 Buttercup Dr
Suite C
Mountain Home, AR 72653

Mailing address

310 Buttercup Dr
Suite C
Mountain Home, AR 72653
Phone (870) 508-6977

Other names 1

  • Baxter Regional Internal Medicine & Infectious Disease Clin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000509 AR Part B Supplier - Clinic/Group Practice 0042389264 Receives reassigned benefits from 9 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mountain Home, AR

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Baxter Cty Reg Hosp16 organizations share this tax ID, including this one
Part of
Baxter Cty Reg Hosp

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1871128116",
    "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": "72653",
            "telephone_number": "870-508-6977",
            "fax_number": "870-508-1615"
        },
        {
            "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": "72653",
            "telephone_number": "870-508-6977",
            "fax_number": "870-508-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAXTER COUNTY REGIONAL HOSPITAL INC",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "SWALLOW",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICIAN NETWORK MANAGER",
        "authorized_official_telephone_number": "870-508-6977"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Regional Internal Medicine & Infectious Disease Clin",
            "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 Jun 3, 2020; 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.