Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
Baxter Regional Vitality Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
310 BUTTERCUP DR STE C, MOUNTAIN HOME, AR 72653-2932
(870) 508-6976
(870) 508-1615
Mailing address
310 BUTTERCUP DR STE C, MOUNTAIN HOME, AR 72653-2932
(870) 508-6976
(870) 508-1615
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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