BOSTON MOUNTAIN RURAL HEALTH CENTER INC (NPI# 1467543892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467543892 |
Entity Type | Organization |
Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
Practice Address |
934 N Gaskill St Huntsville AR 72740-8903 |
Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
Practice Telephone | 4797385500 |
Practice Fax Number | 4797381350 |
Mailing Telephone | 8704485101 |
Enumeration Date | 2006-09-28 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | RAILROAD MEDICARE PIN GRO | DA1111 | 01 |
AR | BLUE CROSS OF ARKANSAS GR | 5B477 | 01 |
AR | 149029749 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487909107 | Boston Mountain Rural Health Center Inc | Clinic/Center | 358 East Valley St., Yellville, AR 72687-2687 | 2012-07-18 |
1932297405 | Boston Mountain Rural Health Center Inc | Clinic/Center | Hc 31 Box 310, Deer, AR 72628 | 2006-10-10 |
1720096027 | Boston Mountain Rural Health Center Inc | Clinic/Center | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2006-08-03 |
Street Address |
934 N GASKILL ST |
City | HUNTSVILLE |
State | AR |
Zip Code | 72740-8903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639181688 | Asish Kumar Ghosh | Pediatrics | 934 N Gaskill St, Huntsville, AR 72740-8903 | 2006-08-11 |
1639726862 | Angela Nicole Teague | Nurse Practitioner | 934 N Gaskill St, Huntsville, AR 72740-8903 | 2019-08-22 |
1013461607 | Savannah Lippincott | Social Worker | 934 N Gaskill St, Huntsville, AR 72740-8903 | 2016-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356536387 | Melissa K Brannan | Marriage & Family Therapist | 405 W. Main Street, Huntsville, AR 72740 | 2007-09-12 |
1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
1114040375 | Patricia Retterer Lemmer | Speech-Language Pathologist | 133 School Drive, Huntsville Middle School, Huntsville, AR 72740 | 2007-04-10 |
1871615518 | Huntsville School District | Local Education Agency (LEA) | 570 West Main, Huntsville, AR 72740 | 2007-04-04 |
1679618250 | Danny L. Ray | Pharmacist | 601 North Gaskill Street, Huntsville, AR 72740 | 2007-02-21 |
1427105667 | Thomas Louie Embry | Family Medicine | 705 Phillips Place, Huntsville, AR 72740 | 2007-01-03 |
1649339755 | Sheila Jeanette Chapman | Case Manager/Care Coordinator | 701 Phillips, Suite 1, Huntsville, AR 72740 | 2006-12-06 |
1811056864 | Melissa Brooke Lowrimore | Case Manager/Care Coordinator | 710 Huntsville, Suite 1, Huntsville, AR 72740 | 2006-12-06 |
1225197510 | Maria Luann Thompson-mcsperitt | Case Manager/Care Coordinator | 701 Phillips Suite 1, Huntsville, AR 72740 | 2006-12-06 |
1326129040 | Clyde Maxwell Norris | Chiropractor | 510 S Harris, Huntsville, AR 72740 | 2006-10-18 |
Find all providers in zip 72740 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1407891336 | Central North Alabama Health Services, Inc. | Clinic/Center | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 | HUNTSVILLE |
Zip Code | 72740 |
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.