Organization
BAPTIST HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
10 MONTGOMERY DRIVE, CADDO VALLEY, AR 71923
(870) 245-2198
Mailing address
10 MONTGOMERY DRIVE, CADDO VALLEY, AR 71923
(870) 245-2198
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
AR
Other
Enumeration date
08/13/2014
Last updated
09/18/2015
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