NPI 1457893281 · live from the CMS NPI Registry
Baxter County Regional Hospital INC
Internal Medicine, Gastroenterology in Mountain Home, AR. National Provider Identifier 1457893281, active.
NPI record
| NPI | 1457893281 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 228 Bucher Dr, Mountain Home, AR 72653 |
| Practice phone | 870-425-4416 |
| Mailing address | Po Box 958539, Saint Louis, MO 63195 |
| Enumerated | November 10, 2016 |
| Last updated | October 10, 2019 |
| Authorized official | Debra Henry, Cfo |
| Other names | Baxter Regional Gastroenterology Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.