# BAXTER COUNTY REGIONAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAXTER COUNTY REGIONAL HOSPITAL, INC.
- **Other names:** Baxter Health Market Street Family Clinic, Baxter Health Family Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851725139
- **Legal business name:** BAXTER COUNTY REGIONAL HOSPITAL, INC.
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 899 BURNETT DR, MOUNTAIN HOME, AR 72653-2909
- **Practice address phone:** (870) 425-6212
- **Practice address fax:** (870) 508-6896
- **Mailing address:** 899 BURNETT DR, MOUNTAIN HOME, AR 72653-2909
- **Mailing address phone:** (870) 425-6212
- **Mailing address fax:** (870) 508-6896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/22/2013
- **Last updated:** 03/10/2025