# BAXTER COUNTY REGIONAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Health Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194590133
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
- **Practice address phone:** (870) 508-1078
- **Practice address fax:** (870) 508-1651
- **Mailing address:** PO BOX 954106, SAINT LOUIS, MO 63195-4106
- **Mailing address phone:** (870) 508-1078
- **Mailing address fax:** (870) 508-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 11/20/2023