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Organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Active
Organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Active
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Other names
Baxter Regional Internal Medicine & Infectious Disease Clin
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL INC
Authorized official
AMY SWALLOW (PHYSICIAN NETWORK MANAGER)
(870) 508-6977
Entity
Organization
Contact information
Practice address
310 BUTTERCUP DR, SUITE C, MOUNTAIN HOME, AR 72653
(870) 508-6977
(870) 508-1615
Mailing address
310 BUTTERCUP DR, SUITE C, MOUNTAIN HOME, AR 72653
(870) 508-6977
(870) 508-1615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
03/06/2020
Last updated
06/03/2020
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