BAXTER REGIONAL MEDICAL CENTER (NPI# 1164770293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164770293 |
Entity Type | Organization |
Organization Name | BAXTER REGIONAL MEDICAL CENTER |
Other Organization Name | EMPLOYEE PHARMACY AT BRMC |
Practice Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
Practice Telephone | 8705087388 |
Practice Fax Number | 8705081354 |
Mailing Telephone | 8705087388 |
Mailing Fax Number | 8705081354 |
Enumeration Date | 2012-08-21 |
Last Update Date | 2015-09-16 |
Authorized Official Name | MR. RUDY DARLING (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 8705081018 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HP0031 | AR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0424034 | 01 |
Other Name | Type Code |
---|---|
Employee Pharmacy at BRMC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245407766 | Baxter Regional Medical Center | Family Medicine | 414 W Old Main St, Yellville, AR 72687-8284 | 2008-05-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BAXTER REGIONAL MEDICAL CENTER | 624 Hospital Dr, Mountain Home, AR 72653-2955 |
Street Address |
624 HOSPITAL DR |
City | MOUNTAIN HOME |
State | AR |
Zip Code | 72653-2955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942296900 | Michael L Recktenwald | Pharmacist | 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 | 2005-09-26 |
1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
1851924765 | Jordan Frey Eldridge | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-19 |
1588296586 | Amanda M Horne | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-07 |
1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
1184127292 | Meagan Thitoff | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-03-15 |
1972002020 | Sarah Marie Eaton | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-02-05 |
1508364449 | Lacey Hlass | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-25 |
1881102192 | Elizabeth Ann Smithhart | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
Find all providers in zip 72653 |
Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154545788 | Healthcare Pharmacy, Inc. | Pharmacy | 3401 Atwood Rd Ste F, Little Rock, AR 72206-6012 | 2007-04-13 |
1891731410 | State of Arkansas | Pharmacy | 305 S Palm St, Little Rock, AR 72205-5432 | 2006-06-21 |
1710597778 | Ouachita County Medical Center | Pharmacy | 638 California Ave Sw, Camden, AR 71701-4604 | 2020-08-05 |
1427473925 | Wpm Community Pharmacies LLC | Pharmacy | 600 W Main St, Heber Springs, AR 72543 | 2014-02-20 |
1821371261 | Arkansas Methodist Hosp Phcy | Pharmacy | 900 W Kingshighway, Paragould, AR 72450-5942 | 2011-09-22 |
1427269091 | St.edward Mercy Medical Center | Pharmacy | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2007-05-25 |
City | MOUNTAIN HOME |
Zip Code | 72653 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.