# BAXTER REGIONAL HEALTH SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Health Willow Street Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356976047
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 406 N WILLOW ST, HARRISON, AR 72601-3517
- **Practice address phone:** (870) 741-3252
- **Mailing address:** 406 N WILLOW ST, HARRISON, AR 72601-3517

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 05/04/2023