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Organization

BAXTER COUNTY REGIONAL HOSPITAL, INC.

Active
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL, INC.
Other names
Baxter Regional General Surgery Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC.
Authorized official
LUCINDA CROW (PFS ANALYST)
(870) 508-1081
Entity
Organization

Contact information

Practice address
639 BROADMOOR CIR STE 2, MOUNTAIN HOME, AR 72653-2901
(870) 508-6960
(870) 508-6965
Mailing address
639 BROADMOOR CIR STE 2, MOUNTAIN HOME, AR 72653-2901
(870) 508-6960
(870) 508-6965

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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