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BAPTIST HEALTH HOSPITALS NPI 1528265295


NPI Information

NPI: 1528265295
Provider Name: BAPTIST HEALTH HOSPITALS

Doing Business As: BAPTIST HEALTH FAMILY CLINIC HAZEN

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

Specialization: Rural Health

CLIA Number: 04D0875745

Address:
201 S LIVERMORE ST
HAZEN, AR
ZIP 72064
Phone: (870) 255-3954
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BAPTIST HEALTH HOSPITALS is a rural health clinic center in Hazen, AR. BAPTIST HEALTH HOSPITALS NPI is 1528265295. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Health Family Clinic Hazen.

The provider's business location address is:

201 S LIVERMORE ST
HAZEN, AR
ZIP 72064
Phone: (870) 255-3954
Fax: (870) 255-3989

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 04D0875745 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 7/7/2017.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1136428729MEDICAIDARKANSAS
2201478729MEDICAIDARKANSAS
3043489MEDICARE OSCAR/CERTIFICATIONARKANSAS

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: 5/5/2024

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