BOSTON MOUNTAIN RURAL HEALTH CENTER INC NPI 1467543892

NPI Information

  • NPI: 1467543892
  • Provider Name: BOSTON MOUNTAIN RURAL HEALTH CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 04D0889073
  • Address: 934 N GASKILL ST
    HUNTSVILLE, AR
    ZIP 72740
  • Phone: (479) 738-5500

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NPI Details

BOSTON MOUNTAIN RURAL HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Huntsville, AR. BOSTON MOUNTAIN RURAL HEALTH CENTER INC NPI is 1467543892. The provider is registered as an organization entity type.

The provider's business location address is:

934 N GASKILL ST
HUNTSVILLE, AR
ZIP 72740-903
Phone: (479) 738-5500
Fax: (479) 738-1350

The provider's authorized official is Debbie Ackerson .
The authorized official title is Ceo and has the following contact phone number (870) 448-5733.

The CLIA number assigned to this NPI record is 04D0889073 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 1/25/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1DA1111OTHERARKANSASRAILROAD MEDICARE PIN GRO
25B477OTHERARKANSASBLUE CROSS OF ARKANSAS GR
3149029749MEDICAIDARKANSAS

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: 3/30/2025

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