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Organization
BAXTER COUNTY REGIONAL HOSPITAL
Active
Organization
BAXTER COUNTY REGIONAL HOSPITAL
Active
Other names
BRMC Ash Flat Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
970 ASH FLAT DR, ASH FLAT, AR 72513-0790
(870) 994-7301
Mailing address
PO BOX 790, ASH FLAT, AR 72513-0790
(870) 994-7301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AR3827
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101068002
—
AR
Enumeration date
11/07/2006
Last updated
09/06/2016
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