Organization
BAXTER REGIONAL HEALTH SYSTEM
Active
Other names
Baxter Health Main Street Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
803 WEST MAIN STREET, MOUNTAIN VIEW, AR 72560
(870) 269-7414
Mailing address
PO BOX 1668, MOUNTAIN VIEW, AR 72560-1668
(870) 269-7414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
05/04/2023
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