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Boston Mountain Rural Health Center, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Mountain View, AR

NPI 1982149662 · NPPES record last updated Dec 10, 2025

Key facts

NPI
1982149662
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 13

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

Other NPIs with the same Medicare PAC ID 19

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

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AR

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
Corporation · Non-profit
Incorporated
Jun 1, 1994 in AR
Enrollment address
316 E Main St
Mountain View, AR 72560-6587

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 Officer
Board Member		 Jan 1, 2017
Charles Reece
Individual 		Corporate Officer
Board Member		 Jan 1, 2017
Debbie Ackerson
Individual 		Corporate Director
Ceo		 Jun 3, 2017
Christopher Graham
Individual 		Corporate Officer
Board Member		 Jan 1, 2017
David Doshier
Individual 		Corporate Officer
Board Member		 Jan 1, 2017
Graciela Reynolds
Individual 		Corporate Officer
Board Member		 Jan 1, 2017
Donna Samples
Individual 		Corporate Officer
Board Member		 Jan 1, 2017
Rebecca Blair
Individual 		Corporate Officer
Cfo		 Dec 13, 2013
Operational/Managerial Control
Cfo		 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, Inc
Marshall, AR · CCN 041984		 Federally qualified health center Other Mar 14, 1994

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

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

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

Other providers in Mountain View, AR

All providers in Mountain View, AR · Federally Qualified Health Center (FQHC) in Arkansas

Sources for this page

Verify at the official NPI Registry.