BAXTER REGIONAL ENTERPRISES LLC NPI 1265197651

NPI Information

  • NPI: 1265197651
  • Provider Name: BAXTER REGIONAL ENTERPRISES, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: BAXTER REGIONAL CARDIOVASCULAR CLINIC
  • CLIA Number: 04D1030816
  • Address: 555 W 6TH ST
    MOUNTAIN HOME, AR
    ZIP 72653
  • Phone: (870) 425-8288

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NPI Details

BAXTER REGIONAL ENTERPRISES, LLC is a specialist in Mountain Home, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BAXTER REGIONAL ENTERPRISES, LLC NPI is 1265197651. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baxter Regional Cardiovascular Clinic.

The provider's business location address is:

555 W 6TH ST
MOUNTAIN HOME, AR
ZIP 72653-409
Phone: (870) 425-8288

The provider's authorized official is Lucinda Crow .
The authorized official title is System Data Analyst and has the following contact phone number (870) 508-1081.

The CLIA number assigned to this NPI record is 04D1030816 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/30/2021.

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
1174400000XSpecialistYes

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: 11/21/2025

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