Organization
BAXTER COUNTY REGIONAL HOSPITAL
Active
Other names
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
Mailing address
PO BOX 790, ASH FLAT, AR 72513-0790
(870) 994-7301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AR3827
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101068002
—
AR
Enumeration date
11/07/2006
Last updated
09/06/2016
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