| Baxter Regional Medical Center | |
|
624 Hospital Dr Mountain Home AR 72653-2955 | |
| (870) 508-1000 | |
| (870) 508-1651 |
| Full Name | Baxter Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 624 Hospital Dr, Mountain Home, Arkansas |
| Authorized Official Name and Position | Debra Henry (CFO) |
| Authorized Official Contact | 8705081003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baxter Regional Medical Center 624 Hospital Dr Mountain Home AR 72653-2955 Ph: (870) 508-1000 | Baxter Regional Medical Center 624 Hospital Dr Mountain Home AR 72653-2955 Ph: (870) 508-1000 |
| NPI Number | 1972549038 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 11/17/2016 |
| Medicare PECOS PAC ID | 3274420971 |
|---|---|
| Medicare Enrollment ID | O20060907000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972549038 | NPI | - | NPPES |
| 101001105 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | AR3827 (Arkansas) | Secondary |
| 273R00000X | Psychiatric Unit | (Arkansas) | Primary |
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