# 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 Main Street Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467056234
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 803 WEST MAIN STREET, MOUNTAIN VIEW, AR 72560
- **Practice address phone:** (870) 269-7414
- **Mailing address:** PO BOX 1668, MOUNTAIN VIEW, AR 72560-1668
- **Mailing address phone:** (870) 269-7414

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 05/04/2023