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Organization
BAXTER REGIONAL HEALTH SYSTEM
Active
Organization
BAXTER REGIONAL HEALTH SYSTEM
Active
Other names
Baxter Health Main Street Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
803 WEST MAIN STREET, MOUNTAIN VIEW, AR 72560
(870) 269-7414
Mailing address
PO BOX 1668, MOUNTAIN VIEW, AR 72560-1668
(870) 269-7414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
05/04/2023
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