BAXTER REGIONAL HEALTH SYSTEM NPI 1619516200

NPI Information

BAXTER REGIONAL HEALTH SYSTEM is a family medicine in Mammoth Spring, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAXTER REGIONAL HEALTH SYSTEM NPI is 1619516200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

277 MAIN STREET
MAMMOTH SPRING, AR
ZIP 72554
Phone: (870) 269-3455

The provider's authorized official is Leonard Bernard Larry .
The authorized official title is Vice President and has the following contact phone number (870) 508-1011.

The CLIA number assigned to this NPI record is 04D1061397 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2019 and was last updated on 12/30/2019.

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:

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