# BAXTER HEALTH FULTON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Health Fulton County Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952132946
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 673 N MAIN ST, STE A, SALEM, AR 72576
- **Practice address phone:** (870) 895-2152
- **Mailing address:** PO BOX 517, SALEM, AR 72576-0517
- **Mailing address phone:** (870) 895-2152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 05/26/2026