Organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Active
Organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Active
Other names
Baxter Regional Gastroenterology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
228 BUCHER DR, MOUNTAIN HOME, AR 72653-3400
(870) 425-4416
(870) 425-8615
Mailing address
PO BOX 958539, SAINT LOUIS, MO 63195-8539
(508) 475-0450
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
10/10/2019
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