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BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE LLC NPI 1922475045


NPI Information

NPI: 1922475045
Provider Name: BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0692424

Address:
610 BROADMOOR DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 508-7530
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BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC is a family medicine in Mountain Home, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC NPI is 1922475045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 BROADMOOR DR
MOUNTAIN HOME, AR
ZIP 72653-903
Phone: (870) 508-7530

The provider's authorized official is Ron Peterson .
The authorized official title is Manager and has the following contact phone number (870) 508-1018.

The CLIA number assigned to this NPI record is 04D0692424 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 8/24/2015.


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
1207Q00000XFamily MedicineE2090ARKANSASYes

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: 4/28/2024

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