Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
D/B/A BRMC GENERAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
(870) 424-4470
Mailing address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
(870) 424-4470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168885002
—
AR
Enumeration date
05/28/2008
Last updated
06/05/2017
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