Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Other names
Baxter Health Family Clinic at Mammoth Spring
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
350 MAIN ST STE 4, MAMMOTH SPRING, AR 72554-7425
(870) 625-3111
Mailing address
350 MAIN ST STE 4, MAMMOTH SPRING, AR 72554-7425
(870) 625-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
07/17/2023
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