# BAPTIST HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104235332
- **Authorized official:** TROY WELLS (PRESIDENT)
- **Authorized official phone:** (501) 202-2080

## Contact information

- **Practice address:** 10 MONTGOMERY DRIVE, CADDO VALLEY, AR 71923
- **Practice address phone:** (870) 245-2198
- **Mailing address:** 10 MONTGOMERY DRIVE, CADDO VALLEY, AR 71923
- **Mailing address phone:** (870) 245-2198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | AR | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 09/18/2015