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Baxter County Regional Hospital

Organization Active NPI Family Medicine Physician · Ash Flat, AR

NPI 1871662734 · NPPES record last updated Sep 6, 2016

Key facts

NPI
1871662734
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
AR3827 (AR)
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL
Practice address
970 Ash Flat Dr
Ash Flat, AR 72513-0790
Phone
(870) 994-7301
NPI assigned
Nov 7, 2006
Organization subpart
No

Authorized official

Name
Debra Henry
Title
Cfo
Phone
(870) 508-1003

Corporate family (same tax ID) 39

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

View all 39

National Provider Directory

Tax ID family
BCRH ER Prof Fees (40 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X AR3827 AR Yes

Addresses

Primary practice location

970 Ash Flat Dr
Ash Flat, AR 72513-0790

Mailing address

PO Box 790
Ash Flat, AR 72513-0790
Phone (870) 994-7301

Other identifiers

IdentifierTypeStateIssuer
101068002MedicaidAR

Other names

  • BRMC Ash Flat Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2016.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1871662734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725130790",
            "telephone_number": "870-994-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 ASH FLAT DR",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725130790",
            "telephone_number": "870-994-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-508-1003"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "AR3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101068002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRMC Ash Flat Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ash Flat, AR

All providers in Ash Flat, AR · Family Medicine Physician in Arkansas

Sources for this page

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