BOSTON MOUNTAIN RURAL HEALTH CENTER, INC (NPI# 1174857825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174857825 |
Entity Type | Organization |
Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER, INC |
Practice Address |
1103 West Main St Green Forest AR 72638-2810 |
Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
Practice Telephone | 8704386500 |
Practice Fax Number | 8704386615 |
Mailing Telephone | 8704485101 |
Enumeration Date | 2009-09-29 |
Last Update Date | 2019-01-25 |
Authorized Official Name | DEBBIE ACKERSON (CEO) |
Authorized Official Telephone | 8704485733 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 187063749 | 05 | |
AR | MEDICARE OSCAR/ CERTIFICATION | 041876 | 01 |
AR | BLUE CROSS | 5B477 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
1407397797 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 | 2017-03-20 |
1699107623 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 326 South Side Rd, Bee Branch, AR 72013-9137 | 2013-08-01 |
1790085231 | Boston Mountain Rural Health Center, Inc | Dentist | 932 N Gaskill St, Huntsville, AR 72740-8903 | 2010-11-01 |
1255429726 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 110 Village Village Place, Fairfield Bay, AR 72088 | 2006-10-10 |
1265040398 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 358 East Valley Street, Yellville, AR 72687-0409 | 2020-07-15 |
1922625706 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-06-29 |
1174064455 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2017-03-20 |
1982149662 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 322 Dogwood Hollow Rd, Mountain View, AR 72560-8626 | 2017-01-04 |
1346784162 | Boston Mountain Rural Health Center, Inc | Registered Nurse | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2016-12-13 |
Street Address |
1103 WEST MAIN ST |
City | GREEN FOREST |
State | AR |
Zip Code | 72638-2810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134687148 | Patricia Ann Hurst | Physical Therapist | 909 W Main St, Green Forest, AR 72638 | 2019-03-08 |
1689961450 | Mitzi Ann Heithaus | Speech-Language Pathologist | 400 East 10th Street, Green Forest, AR 72638-0000 | 2011-06-30 |
1720029523 | Paula Ann Stapleton | Social Worker | 1103 West Main Street, Green Forest, AR 72638-0639 | 2006-06-10 |
1669867503 | Abigail Anne Peerce | Nurse Practitioner | 1103 West Main Street, Green Forest, AR 72638-0639 | 2015-03-30 |
1144438615 | Green Forest Schools | Local Education Agency (LEA) | 805 Phillips Avenue, Green Forest, AR 72638-1950 | 2007-05-18 |
1689221707 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1103 W Main St, Green Forest, AR 72638-2311 | 2019-08-22 |
1194932848 | Jennifer Carol Fry | Speech-Language Pathologist | 909 W Main St, Green Forest, AR 72638-2316 | 2007-05-16 |
1467670372 | Star Therapy, P.a. | Speech-Language Pathologist | 909 W Main St, Green Forest, AR 72638-2316 | 2007-04-23 |
1174681910 | Ozarks Occupational Therapy Inc | Occupational Therapist | 909 W Main St, Green Forest, AR 72638-2316 | 2006-12-05 |
1154489995 | Leah Carol Motzko | Occupational Therapist | 909 W Main St, Green Forest, AR 72638-2316 | 2006-12-05 |
Find all providers in zip 72638 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
Find all providers with the same taxonomy |
City | GREEN FOREST |
Zip Code | 72638 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.