BOSTON MOUNTAIN RURAL HEALTH CENTER, INC (NPI# 1255429726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255429726 |
| Entity Type | Organization |
| Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER, INC |
| Practice Address |
110 Village Village Place Fairfield Bay AR 72088 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 5018846898 |
| Practice Fax Number | 5018846831 |
| Mailing Telephone | 8704485101 |
| Mailing Fax Number | 8704484769 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | MS. MELANIE CAMPBELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8704485101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS ARKANSAS GROUP | 5B477 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1407397797 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 | 2017-03-20 |
| 1699107623 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 326 South Side Rd, Bee Branch, AR 72013-9137 | 2013-08-01 |
| 1790085231 | Boston Mountain Rural Health Center, Inc | Dentist | 932 N Gaskill St, Huntsville, AR 72740-8903 | 2010-11-01 |
| 1174857825 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1103 West Main St, Green Forest, AR 72638-2810 | 2009-09-29 |
| 1265040398 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 358 East Valley Street, Yellville, AR 72687-0409 | 2020-07-15 |
| 1922625706 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-06-29 |
| 1174064455 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2017-03-20 |
| 1982149662 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 322 Dogwood Hollow Rd, Mountain View, AR 72560-8626 | 2017-01-04 |
| 1346784162 | Boston Mountain Rural Health Center, Inc | Registered Nurse | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2016-12-13 |
| Street Address |
110 VILLAGE VILLAGE PLACE |
| City | FAIRFIELD BAY |
| State | AR |
| Zip Code | 72088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609036789 | S M Hassan Bashiri | Dentist | 203 Lakeview Dr, Fairfield Bay, AR 72088 | 2008-06-12 |
| 1659781151 | Baptist Health | Clinic/Center | 110 Village Ln, Suite 2b, Fairfield Bay, AR 72088 | 2014-05-06 |
| 1033758420 | Jenny Treece | Pharmacist | 367 Dave Creek Parkway, Fairfield, AR 72088-1223 | 2020-01-02 |
| 1861454506 | City of Fairfield Bay | Ambulance | 101 Little Rock Drive, Fairfield Bay, AR 72088-1271 | 2006-04-06 |
| 1780168948 | White River Health System, Inc. | Clinic/Center | 110 Village Pl, Fairfield Bay, AR 72088-2838 | 2018-09-24 |
| 1215066998 | Village Gardens | Assisted Living Facility | 265 Dave Creek Pkwy, Fairfield Bay, AR 72088-3106 | 2007-03-05 |
| 1780633222 | Indian Rock Village, LLC | Nursing Facility/Intermediate Care Facility | 265 Dave Creek Parkway, Fairfield Bay, AR 72088-3136 | 2006-05-10 |
| 1477960581 | Ozark Medical Clinic, LLC | Family Medicine | 383 Dave Creek Pkwy, Fairfield Bay, AR 72088-3631 | 2014-07-21 |
| 1356335566 | Bennett Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 367 Dave Creek Pkwy, Fairfield Bay, AR 72088-3631 | 2005-09-01 |
| 1578758082 | Rebecca M. Mcallister | Physical Therapist | 107 Eagle Ridge Trce, Fairfield Bay, AR 72088-4512 | 2007-09-07 |
| Find all providers in zip 72088 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FAIRFIELD BAY |
| Zip Code | 72088 |
Please comment or provide details below to improve the information on BOSTON MOUNTAIN RURAL HEALTH CENTER, INC.
| 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.