Organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Active
Other names
D/B/A BRMC ASH FLAT CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
970 ASH FLAT DR, ASH FLAT, AR 72513-0790
(870) 994-7301
(870) 994-7488
Mailing address
970 ASH FLAT DR, ASH FLAT, AR 72513-0790
(870) 994-7301
(870) 994-7488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AR3827
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168205002
—
AR
Enumeration date
03/11/2008
Last updated
08/02/2017
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