BOSTON MOUNTAIN RURAL HEALTH CENTER INC (NPI# 1720096027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720096027 |
| Entity Type | Organization |
| Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Practice Address |
2263 Highway 65 North Marshall AR 72650-1060 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 8704485733 |
| Practice Fax Number | 8704484769 |
| Mailing Telephone | 8704485733 |
| Mailing Fax Number | 8704484769 |
| Enumeration Date | 2006-08-03 |
| 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 | 124795749 | 05 | |
| AR | 133965749 | 05 | |
| AR | 149029749 | 05 | |
| AR | 150794749 | 05 | |
| AR | BLUE CROSS | 5B477 | 01 |
| AR | 135037749 | 05 | |
| AR | RAILROAD MEDICARE GROUP | DA1111 | 01 |
| 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 |
| 1467543892 | Boston Mountain Rural Health Center Inc | Clinic/Center | 934 N Gaskill St, Huntsville, AR 72740-8903 | 2006-09-28 |
| Street Address |
2263 HIGHWAY 65 NORTH |
| City | MARSHALL |
| State | AR |
| Zip Code | 72650-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386553 | Larry Bryan Jennings | Family Medicine | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2005-06-17 |
| 1346784162 | Boston Mountain Rural Health Center, Inc | Registered Nurse | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2016-12-13 |
| 1538530316 | Neil Langer I | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2015-10-19 |
| 1275932634 | Macy Annette Massey | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650 | 2014-08-21 |
| 1790058709 | Amber N Tilley | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124254255 | Keshia Grinder | Counselor | 316 Hwy 65 N, Marshall, AR 72650 | 2009-06-03 |
| 1629214150 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 200 E Main Street, Marshall, AR 72650 | 2009-01-06 |
| 1649466178 | Andrea Lea Mccallister | Occupational Therapist | 201 West College St, Searay County School District, Marshall, AR 72650 | 2007-09-18 |
| 1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
| 1770701690 | Carylene Gentry | Optometrist | 303 E. Main St., Marshall, AR 72650 | 2007-04-23 |
| 1790815827 | Jeri A White | Registered Nurse | 316 Hwy 65 North, Marshall, AR 72650 | 2007-03-07 |
| 1992848493 | Marshall Medic Pharmacy, Inc. | Pharmacy | 243 Hwy 65 North, Marshall, AR 72650 | 2007-02-14 |
| 1912057118 | Marshall Family Eyecare | Optometrist | 303 E. Main, Marshall, AR 72650 | 2007-01-11 |
| 1609947068 | Michael Baker Pharmacy, Inc. | Pharmacy | 101 W. Main St., Marshall, AR 72650 | 2006-11-10 |
| 1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
| Find all providers in zip 72650 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1811485055 | East Texas Border Health Clinic | Clinic/Center | 815 S Washington Ave Ste 203, Marshall, TX 75670-5341 | 2018-04-24 |
| 1588092472 | East Texas Border Health Clinic | Clinic/Center | 401 N Grove Street, Marshall, TX 75670-3255 | 2013-10-31 |
| 1811964729 | Hot Springs Health Program, Inc. | Clinic/Center | 80 Guntertown Rd, Marshall, NC 28753-7806 | 2006-03-01 |
| 1023630969 | East Texas Border Health Clinic | Clinic/Center | 622 S Grove St, Marshall, TX 75670-5251 | 2020-05-14 |
| 1053845636 | East Texas Border Health Clinic | Clinic/Center | 618 S Grove St Ste 100&300, Marshall, TX 75670-5294 | 2017-04-20 |
| 1548794134 | East Texas Border Health Clinic | Clinic/Center | 707 S Grove St, Marshall, TX 75670-5220 | 2017-04-20 |
| 1922532555 | East Texas Border Health Clinic | Clinic/Center | 620 S Grove St Ste 105, Marshall, TX 75670-5295 | 2017-04-20 |
| 1972981942 | Regional Health Care Clinic, Inc | Clinic/Center | 1825 Atchison Ave, Marshall, MO 65340-9752 | 2015-05-11 |
| Find all providers in MARSHALL | ||||
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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.