Baxter Regional Pulmonology Clinic

LBN: Baxter County Regional Hospital
Baxter Regional Pulmonology Clinic is an health care organization with primary practice located at 628 Hospital Dr Ste 3A , Mountain Home AR 72653-2952. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Baxter County Regional Hospital can be contacted via phone (870) 508-3250, or through Holleman, Ivan via phone (870) 508-1003.

Contact Information

Primary practice address
628 Hospital Dr Ste 3A Mountain Home AR 72653-2952
Phone: (870) 508-3250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holleman, Ivan
Phone: (870) 508-1003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X AR3827 Arkansas

Profile Details

NPI number 1467537324
LBN Legal business name Baxter County Regional Hospital
DBA Doing business as Baxter Regional Pulmonology Clinic
Authorized official Holleman, Ivan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467537324 NPPES
Arkansas MEDICAID 101068002

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