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Organization

BAXTER COUNTY REGIONAL HOSPITAL, INC

Active
Other names
BAXTER HEALTH FAMILY CLINIC AT MAMMOTH SPRING
Organization subpart
No

Provider details

NPI number
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
Primary

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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