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BAPTIST HEALTH HOSPITALS NPI 1295932820


NPI Information

NPI: 1295932820
Provider Name: BAPTIST HEALTH HOSPITALS

Doing Business As: BAPTIST HEALTH FAMILY CLINIC DEWITT

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D1028354

Address:
1703 S WHITEHEAD DR
DE WITT, AR
ZIP 72042
Phone: (870) 946-0300
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BAPTIST HEALTH HOSPITALS is a rural health clinic center in De Witt, AR. BAPTIST HEALTH HOSPITALS NPI is 1295932820. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Health Family Clinic Dewitt.

The provider's business location address is:

1703 S WHITEHEAD DR
DE WITT, AR
ZIP 72042-911
Phone: (870) 946-0300
Fax: (870) 946-0303

The provider's authorized official is Troy Wells .
The authorized official title is President and has the following contact phone number (501) 202-2080.

The CLIA number assigned to this NPI record is 04D1028354 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 7/21/2022.


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
1261QR1300XClinic/CenterRural HealthARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201481729MEDICAIDARKANSAS
2136428729MEDICAIDARKANSAS

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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