BOSTON MOUNTAIN RURAL HEALTH CENTER, INC (NPI# 1407397797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407397797 |
Entity Type | Organization |
Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER, INC |
Practice Address |
1094 Catholic Point Rd Center Ridge AR 72027-8403 |
Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
Practice Telephone | 8704485101 |
Mailing Telephone | 8704485101 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2019-01-25 |
Authorized Official Name | DEBBIE ACKERSON (CEO) |
Authorized Official Telephone | 8704485733 |
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 |
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 |
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 |
1255429726 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 110 Village Village Place, Fairfield Bay, AR 72088 | 2006-10-10 |
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 |
1094 CATHOLIC POINT RD |
City | CENTER RIDGE |
State | AR |
Zip Code | 72027-8403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780297739 | Ashley Tallent | Nurse Practitioner | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 | 2020-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285909036 | Tommy Ray Mahan | Case Manager/Care Coordinator | 3693 Hwy 92 W, Center Ridge, AR 72027 | 2012-03-13 |
1881684991 | Karen Tester | Nurse Practitioner | 1094 Catholic Point Road, Center Ridge, AR 72027-0146 | 2005-10-28 |
1598213431 | Michael Ray Taylor Jr. | Specialist/Technologist | 20 Lost Mountain Rd, Center Ridge, AR 72027-8317 | 2016-09-21 |
1144388620 | Nemo Vista School | Local Education Agency (LEA) | 5690 Highway 9, Center Ridge, AR 72027-8401 | 2006-12-05 |
1982931036 | Amy Michelle Malik | Speech-Language Pathologist | 398 M&m Road, Center Ridge, AR 72027-8453 | 2009-11-11 |
1326393844 | Brianna M Beck | Physical Therapist | 6 Brindley Ln, Center Ridge, AR 72027-8454 | 2012-07-20 |
1851619613 | Neuropsychology Associates, P.a. | Clinical Neuropsychologist | 620 Dutton Mountain Rd, Center Ridge, AR 72027-8469 | 2010-05-04 |
1285736074 | Sheila Denise Beck | Physical Therapist | 1091 Dutton Mountain Rd, Center Ridge, AR 72027-8547 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598213431 | Michael Ray Taylor Jr. | Specialist/Technologist | 20 Lost Mountain Rd, Center Ridge, AR 72027-8317 | 2016-09-21 |
1326393844 | Brianna M Beck | Physical Therapist | 6 Brindley Ln, Center Ridge, AR 72027-8454 | 2012-07-20 |
1285909036 | Tommy Ray Mahan | Case Manager/Care Coordinator | 3693 Hwy 92 W, Center Ridge, AR 72027 | 2012-03-13 |
1851619613 | Neuropsychology Associates, P.a. | Clinical Neuropsychologist | 620 Dutton Mountain Rd, Center Ridge, AR 72027-8469 | 2010-05-04 |
1982931036 | Amy Michelle Malik | Speech-Language Pathologist | 398 M&m Road, Center Ridge, AR 72027-8453 | 2009-11-11 |
1144388620 | Nemo Vista School | Local Education Agency (LEA) | 5690 Highway 9, Center Ridge, AR 72027-8401 | 2006-12-05 |
1285736074 | Sheila Denise Beck | Physical Therapist | 1091 Dutton Mountain Rd, Center Ridge, AR 72027-8547 | 2006-09-02 |
1881684991 | Karen Tester | Nurse Practitioner | 1094 Catholic Point Road, Center Ridge, AR 72027-0146 | 2005-10-28 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 | CENTER RIDGE |
Zip Code | 72027 |
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.