BOSTON MOUNTAIN RURAL HEALTH CENTER INC NPI 1982149662

NPI Information

NPI: 1982149662
Provider Name: BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 04D2124511

Address:
322 DOGWOOD HOLLOW RD
MOUNTAIN VIEW, AR
ZIP 72560
Phone: (999) 999-9999
Get Directions

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Mountain View, AR. BOSTON MOUNTAIN RURAL HEALTH CENTER, INC NPI is 1982149662. The provider is registered as an organization entity type.

The provider's business location address is:

322 DOGWOOD HOLLOW RD
MOUNTAIN VIEW, AR
ZIP 72560-626
Phone: (999) 999-9999
Fax: (999) 999-9999

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 04D2124511 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/28/2019.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »