Organization
BAXTER COUNTY REGIONAL HOSPITAL
Active
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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