Baxter Health Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAXTER HEALTH AMBULATORY SURGERY CENTER, LLC

Practice address

100 Town Center Dr Ste B
Harrison, AR 72601-3038

Phone

(870) 741-6060

Fax

(870) 741-6013

NPI assigned

Oct 21, 2024

Last updated

Jun 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Barnett

Title

Administrator/Authorized Official

Phone

(870) 508-1009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912728007. Details of each certification follow.

• CCN 04C0001125 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 04C0001125

Legal name

Baxter Health Ambulatory Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 24, 2025

Last certification

Oct 16, 2025

Ownership / control type

Proprietary

Facility address

100 Town Center Dr
Harrison, AR 72601

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baxter Regional Health System

  dba BRMC Hometown Clinic at Mammoth Spring

  • Family Medicine Physician
  • Mammoth Spring, AR
  • NPI 1619516200

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Tarik Sidani, DO

  • Orthopaedic Surgery Physician
  • Harrison, AR
  • NPI 1558306902
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1912728007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUITE B TOWN CENTER DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-741-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWN CENTER DR STE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013038",
            "telephone_number": "870-741-6060",
            "fax_number": "870-741-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER HEALTH AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "870-508-1009"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baxter County Regional Hospital, Inc (Baxter Health Crossroads Family Clinic)
• Baxter County Regional Hospital, Inc (Baxter Health Imaging at Harrison)
• Baxter County Regional Hospital, Inc (Baxter Health Premier Family Clinic)
• Baxter County Regional Hospital, Inc (Interventional Pain Management)
• Baxter County Regional Hospital, Inc (Baxter Health McClintock Family Clinic)
• Baxter Regional Enterprises, LLC (Baxter Health Cardiology Clinic at Harrison)
• Baxter Regional Health System (Baxter Health Harrison Family Practice)
• Baxter Regional Health System (Baxter Health Willow Street Family Clinic)
• Baxter Regional Health System (Baxter Health Urology Clinic at Harrison)
• Laini Marie Beans

• Ambulatory Surgical Clinic/Center in Harrison, AR
• Providers in Harrison, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.