Organization
BAXTER COUNTY REGIONAL HOSPITAL, INC
Active
Other names
Baxter Health Market Street 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
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
(870) 508-7609
Mailing address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
(870) 508-7609
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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