BAXTER COUNTY REGIONAL HOSPITAL; NPI #1467537324

Contact Information

BAXTER COUNTY REGIONAL HOSPITAL

628 HOSPITAL DR STE 3A
MOUNTAIN HOME, AR 72653-2952

Phone: 870-508-3250
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for BAXTER COUNTY REGIONAL HOSPITAL

NPI # 1467537324

LBN Legal business name BAXTER COUNTY REGIONAL HOSPITAL

Authorized official IVAN HOLLEMAN - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

AR	License #	AR3827
AR	Medicaid	101068002

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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