BOSTON MOUNTAIN RURAL HEALTH CENTER INC (NPI# 1487909107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487909107 |
| Entity Type | Organization |
| Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Practice Address |
358 East Valley St. Yellville AR 72687-2687 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 8704497000 |
| Practice Fax Number | 8704497010 |
| Mailing Telephone | 8704485101 |
| Mailing Fax Number | 8704484769 |
| Enumeration Date | 2012-07-18 |
| 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) |
AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 202201749 | 05 | |
| AR | BC/BS | 5B477 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932297405 | Boston Mountain Rural Health Center Inc | Clinic/Center | Hc 31 Box 310, Deer, AR 72628 | 2006-10-10 |
| 1467543892 | Boston Mountain Rural Health Center Inc | Clinic/Center | 934 N Gaskill St, Huntsville, AR 72740-8903 | 2006-09-28 |
| 1720096027 | Boston Mountain Rural Health Center Inc | Clinic/Center | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2006-08-03 |
| Street Address |
358 EAST VALLEY ST. |
| City | YELLVILLE |
| State | AR |
| Zip Code | 72687-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926881 | Makayla Rae Devore | Licensed Practical Nurse | 81 Development Dr., Yellville, AR 72687 | 2020-09-09 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1396219309 | Harps Food Stores Inc | Pharmacy | 200 N Wickersham Street, Yellville, AR 72687 | 2019-01-14 |
| 1114359619 | Yellville-summit Health Center | Nurse Practitioner | 1201 N. Panther Ave, Yellville, AR 72687 | 2013-08-07 |
| 1811167745 | Amy Cole | Case Manager/Care Coordinator | 319 Highway 14 South, #1, Yellville, AR 72687 | 2008-03-06 |
| 1245456490 | School of New Hope | Day Training, Developmentally Disabled Services | 308 W 11th St, Yellville, AR 72687 | 2007-04-17 |
| 1437291796 | Kim Peruchi | Case Manager/Care Coordinator | 319 Hwy 14 South #1, Yellville, AR 72687 | 2007-02-13 |
| 1033250832 | Molly Fila | Case Manager/Care Coordinator | 319 Hwy 14 South 1, Yellville, AR 72687 | 2007-02-12 |
| 1275550733 | Freds Stores of Tennessee Inc | Pharmacy | 320 Highway South, Yellville, AR 72687 | 2006-07-17 |
| 1205454360 | Kidspiration Outpatient Therapy Services of Marion County Inc | Pediatrics | 81 Development Dr, Yellville, AR 72687 | 2020-07-06 |
| Find all providers in zip 72687 | ||||
| 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 |
|---|---|---|---|---|
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
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| Find all providers with the same taxonomy | ||||
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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.