BOSTON MOUNTAIN RURAL HEALTH CENTER, INC (NPI# 1922625706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922625706 |
| Entity Type | Organization |
| Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER, INC |
| Practice Address |
465 Medical Center Pkwy Clinton AR 72031-7946 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 5017458811 |
| Practice Fax Number | 5017455042 |
| Mailing Telephone | 8704485733 |
| Mailing Fax Number | 8704483767 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | DEBBIE ACKERSON (CEO) |
| Authorized Official Telephone | 8704485733 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| 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 |
| 1407397797 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 | 2017-03-20 |
| 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 |
| 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 |
465 MEDICAL CENTER PKWY |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-7946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770668014 | Jamie Roger Moore | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2006-10-26 |
| 1568071595 | Jesse Blake Kitchens | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-07-27 |
| 1063954139 | Abu Faisal Mohammad Hasme | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2016-11-07 |
| 1871774075 | David Geidl | Family Medicine | 465 Medical Center Pkwy, Clinton, AR 72031 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| 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 |
|---|---|---|---|---|
| 1598152019 | Community Health Care Inc | Clinic/Center | 925 South 4th Street, Clinton, IA 52732-5726 | 2015-04-22 |
| 1518238690 | Carolina Health Centers, Inc. | Clinic/Center | 700 Plaza Cir Ste B, Clinton, SC 29325-7556 | 2012-01-20 |
| 1821245127 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10701 Reiley Street, Clinton, LA 70722-3210 | 2008-08-19 |
| 1992951297 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10410 Plank Road, Clinton, LA 70722 | 2008-08-18 |
| 1073638557 | Goshen Medical Center Incorporated | Clinic/Center | 906 Us Highway 421, Clinton, NC 28328-0410 | 2007-03-21 |
| 1871692483 | Primary Care Providers for A Healthy Feliciana, Inc | Clinic/Center | 10410 Plank Rd, Clinton, LA 70722-3710 | 2006-09-21 |
| 1699878645 | Primary Care Providers for A Healthy Feliciana Inc | Clinic/Center | 11990 Jackson Street, Clinton, LA 70722-3210 | 2006-09-06 |
| 1023424686 | Goshen Medical Center Incorporated | Clinic/Center | 408 Fairview St, Clinton, NC 28328-2312 | 2014-07-03 |
| 1245669266 | Compass Health, Inc. | Clinic/Center | 1800 Community, Clinton, MO 64735-8804 | 2013-11-12 |
| 1477878874 | Goshen Medical Center, Inc. | Clinic/Center | 908 N Us Highway 421, Clinton, NC 28328-0410 | 2010-03-30 |
| Find all providers in CLINTON | ||||
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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.