Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
Baxter Health Nephrology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
628 HOSPITAL DR STE 1A-1, MOUNTAIN HOME, AR 72653-2953
(870) 508-1950
(870) 508-1614
Mailing address
628 HOSPITAL DR STE 1A-1, MOUNTAIN HOME, AR 72653-2953
(870) 508-1950
(870) 508-1614
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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