BAXTER COUNTY REGIONAL HOSPITAL INC NPI 1205157427

NPI Information

NPI: 1205157427
Provider Name: BAXTER COUNTY REGIONAL HOSPITAL INC

Doing Business As: THE CLINIC AT WALMART OPERATED BY BAXTER REGIONAL MEDICAL CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
65 WAL MART DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 492-2200
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BAXTER COUNTY REGIONAL HOSPITAL INC is a family nurse practitioner in Mountain Home, AR. BAXTER COUNTY REGIONAL HOSPITAL INC NPI is 1205157427. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Clinic At Walmart Operated By Baxter Regional Medical Center.

The provider's business location address is:

65 WAL MART DR
MOUNTAIN HOME, AR
ZIP 72653-784
Phone: (870) 492-2200

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 enumeration date for this NPI number is 6/22/2010 and was last updated on 9/29/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DQ7079	OTHER	ARKANSAS	RAILROAD MEDICARE
2	185021762	MEDICAID	ARKANSAS
3	5G632	MEDICARE PIN	ARKANSAS

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

NPI Synchronization or Removal

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