# BAXTER COUNTY REGIONAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAXTER COUNTY REGIONAL HOSPITAL, INC
- **Other names:** Baxter Health Premier Family Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144908351
- **Legal business name:** BAXTER COUNTY REGIONAL HOSPITAL, INC
- **Authorized official:** LUCINDA CROW (SYSTEM DATA ANALYST)
- **Authorized official phone:** (870) 508-1081

## Contact information

- **Practice address:** 1417 GLADDEN ST, HARRISON, AR 72601-2236
- **Practice address phone:** (870) 741-0016
- **Mailing address:** 1417 GLADDEN ST, HARRISON, AR 72601-2236
- **Mailing address phone:** (870) 741-0016

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023