BAXTER REGIONAL MEDICAL CENTER


Address: 624 Hospital Dr, Mountain Home, AR 72653-2955
Phone: 8705087388

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
HP0031 AR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 0424034 01

Other Provider/Organization Names

Other Name Type Code
Employee Pharmacy at BRMC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245407766 Baxter Regional Medical Center Family Medicine 414 W Old Main St, Yellville, AR 72687-8284 2008-05-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BAXTER REGIONAL MEDICAL CENTER 624 Hospital Dr, Mountain Home, AR 72653-2955

Office Location

Street Address 624 HOSPITAL DR
City MOUNTAIN HOME
State AR
Zip Code 72653-2955

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MOUNTAIN HOME
Zip Code 72653

Improve Information

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Dataset Information

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.

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