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Organization

BAXTER COUNTY REGIONAL HOSPITAL

Active
Other names
Baxter Regional Rheumatology Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization

Contact information

Practice address
310 BUTTERCUP DR STE C, MOUNTAIN HOME, AR 72653-2932
(870) 424-7072
Mailing address
310 BUTTERCUP DR STE C, MOUNTAIN HOME, AR 72653-2932
(870) 424-7072

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
AR3827
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101068002
AR
Enumeration date
10/26/2006
Last updated
09/06/2016
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