# BAXTER REGIONAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Health School Based Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013745637
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 357 STATE HIGHWAY O, BAKERSFIELD, MO 65609-8483
- **Practice address phone:** (417) 284-7333
- **Mailing address:** PO BOX 2038, MOUNTAIN HOME, AR 72654-2038
- **Mailing address phone:** (417) 284-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2024
- **Last updated:** 07/24/2024