NPIMap

Organization Active NPI

Boston Mountain Rural Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Mountain View, AR
National Provider Identifier
1982149662
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Practice address
322 Dogwood Hollow Rd
Mountain View, AR 72560-8626
Phone
(999) 999-9999
Fax
(999) 999-9999
NPI assigned
Jan 4, 2017
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Debbie Ackerson
Title
Ceo
Phone
(870) 448-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

322 Dogwood Hollow Rd
Mountain View, AR 72560-8626

Mailing address

PO Box 1060
Marshall, AR 72650-1060
Phone (870) 448-5101

Other practice location 1

316 E Main St
Mountain View, AR 72560
Phone (870) 269-2995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040701000737 AR Part B Supplier - Clinic/Group Practice 3870401722 Receives reassigned benefits from 58 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jasper, AR; Lead Hill, AR; Marshall, AR; Mountain Home, AR; Mountain View, AR; Quitman, AR; Shirley, AR; Yellville, AR…
O20170828000786 AR Part A Provider - Federally Qualified Health Center (FQHC) 3870401722 Practice locations: Mountain View, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982149662. Details of each certification follow.

Federally qualified health center certification: CCN 041930

Legal name
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 23, 2017
Last certification
Aug 23, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1994 in AR
Enrollment address
316 E Main St
Mountain View, AR 72560-6587

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 13

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

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2124511Boston Mountain Rural Health Center - MTN View316 E Main Street, Mountain View, AR 72560Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Lynn Emmett Individual Corporate OfficerBoard Member Jan 1, 2017
Charles Reece Individual Corporate OfficerBoard Member Jan 1, 2017
Debbie Ackerson Individual Corporate DirectorCeo Jun 3, 2017
Christopher Graham Individual Corporate OfficerBoard Member Jan 1, 2017
David Doshier Individual Corporate OfficerBoard Member Jan 1, 2017
Graciela Reynolds Individual Corporate OfficerBoard Member Jan 1, 2017
Donna Samples Individual Corporate OfficerBoard Member Jan 1, 2017
Rebecca Blair Individual Corporate OfficerCfo Dec 13, 2013
Operational/Managerial ControlCfo Dec 13, 2013

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Boston Mountain Rural Health Center, IncMarshall, AR, CCN 041984 Federally qualified health center Other Mar 14, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1982149662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5101",
            "fax_number": "870-448-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 DOGWOOD HOLLOW RD",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725608626",
            "telephone_number": "999-999-9999",
            "fax_number": "999-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 E MAIN ST",
            "address_purpose": "LOCATION",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "country_code": "US",
            "telephone_number": "870-269-2995",
            "fax_number": "877-550-1907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON MOUNTAIN RURAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "ACKERSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-448-5733"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.