Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
Baxter Health Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GRAHAM VACCARELLA (VP GENERAL COUNSEL)
(870) 508-1006
Entity
Organization
Contact information
Practice address
899 BURNETT DR, MOUNTAIN HOME, AR 72653-2909
(870) 425-6212
(870) 508-6896
Mailing address
899 BURNETT DR, MOUNTAIN HOME, AR 72653-2909
(870) 425-6212
(870) 508-6896
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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