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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