Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
Baxter Health Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
675 HIGHWAY 62 E STE 101, MOUNTAIN HOME, AR 72653-3207
(870) 508-1095
(870) 508-1998
Mailing address
675 HIGHWAY 62 E STE 101, MOUNTAIN HOME, AR 72653-3207
(870) 508-1095
(870) 508-1998
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182455002
—
AR
Enumeration date
12/28/2009
Last updated
03/14/2023
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