Provider Type Icon

BAXTER COUNTY REGIONAL HOSPITAL INC NPI 1437423472


NPI Information

NPI: 1437423472
Provider Name: BAXTER COUNTY REGIONAL HOSPITAL, INC

Doing Business As: FAIRLAMB SENIOR HEALTH CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 04D2042964

Address:
614 BROADMOOR DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 508-3870
Get Directions

BAXTER COUNTY REGIONAL HOSPITAL, INC is a clinic center in Mountain Home, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BAXTER COUNTY REGIONAL HOSPITAL, INC NPI is 1437423472. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairlamb Senior Health Clinic.

The provider's business location address is:

614 BROADMOOR DR
MOUNTAIN HOME, AR
ZIP 72653-903
Phone: (870) 508-3870

The provider's authorized official is Debra Henry .
The authorized official title is Cfo and has the following contact phone number (870) 508-1003.

The CLIA number assigned to this NPI record is 04D2042964 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 10/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.