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Contact Information

BAXTER COUNTY REGIONAL HOSPITAL INC
65 WAL MART DR
MOUNTAIN HOME, AR72653-6784
 Phone: 870-492-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BAXTER COUNTY REGIONAL HOSPITAL INC · (Female)

NPI # 1205157427
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2010
Last updated 09/29/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 185021762
  • AR Other DQ7079 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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