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Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
Baxter Regional Vitality Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
310 BUTTERCUP DR STE C, MOUNTAIN HOME, AR 72653-2932
(870) 508-6976
(870) 508-1615
Mailing address
310 BUTTERCUP DR STE C, MOUNTAIN HOME, AR 72653-2932
(870) 508-6976
(870) 508-1615
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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