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Organization

BAXTER COUNTY REGIONAL HOSPITAL, INC.

Active
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Organization

BAXTER COUNTY REGIONAL HOSPITAL, INC.

Active
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Other names
Baxter Regional Nephrology & Pulmonology Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization

Contact information

Practice address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-1787
(870) 425-2009
Mailing address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-1787
(870) 425-2009

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
09/30/2013
Last updated
10/10/2019
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