BAXTER COUNTY REGIONAL HOSPITAL, INC (NPI# 1790257673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790257673 |
| Entity Type | Organization |
| Organization Name | BAXTER COUNTY REGIONAL HOSPITAL, INC |
| Practice Address |
310 Buttercup Dr Ste C Mountain Home AR 72653-2932 |
| Practice Telephone | 8705086976 |
| Practice Fax Number | 8705081615 |
| Mailing Telephone | 8705086976 |
| Mailing Fax Number | 8705081615 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | DEBRA HENRY (CFO) |
| Authorized Official Telephone | 8705081003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baxter Regional Vitality Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386199057 | Baxter County Regional Hospital, Inc | Clinic/Center | 230 Highway 5 N, Suite 10, Mountain Home, AR 72653-3027 | 2016-08-23 |
| 1942602156 | Baxter County Regional Hospital, Inc | Psychiatry & Neurology | 624 Hospital Dr Ste 2b, Mountain Home, AR 72653-2955 | 2014-09-18 |
| 1437423472 | Baxter County Regional Hospital, Inc | Clinic/Center | 614 Broadmoor Dr, Mountain Home, AR 72653-2903 | 2012-03-07 |
| 1558691410 | Baxter County Regional Hospital, Inc | Pediatrics | 624 Hospital Dr Dept 7880, Mountain Home, AR 72653-2955 | 2009-12-28 |
| 1952330151 | Baxter County Regional Hospital, Inc | Home Health | 30 Ryan Road, Cotter, AR 72626-9175 | 2006-07-01 |
| 1174131502 | Baxter County Regional Hospital, Inc | Internal Medicine | 10 Medical Plz, Mountain Home, AR 72653-2918 | 2020-07-22 |
| 1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
| 1720430309 | Baxter County Regional Hospital, Inc | Clinic/Center | 825 N Main St, Suite 6, Harrison, AR 72601-2914 | 2016-07-07 |
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1881075638 | Baxter County Regional Hospital, Inc | Durable Medical Equipment & Medical Supplies | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2015-06-17 |
| Street Address |
310 BUTTERCUP DR STE C |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285719146 | Baxter County Regional Hospital | Internal Medicine | 310 Buttercup Dr Ste C, Mountain Home, AR 72653-2932 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on BAXTER COUNTY REGIONAL HOSPITAL, 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.