BAPTIST HEALTH (NPI# 1528478955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528478955 |
| Entity Type | Organization |
| Organization Name | BAPTIST HEALTH |
| Other Organization Name | BAPTIST HEALTH FAMILY CLINIC - CADDO VALLEY |
| Practice Address |
10 Montgomery Drive Caddo Valley AR 71923 |
| Mailing Address |
9601 Baptist Health Drive Little Rock AR 72205 |
| Practice Telephone | 8702452198 |
| Mailing Telephone | 5012022080 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | TROY WELLS (PRESIDENT) |
| Authorized Official Telephone | 5012022080 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Baptist Health Family Clinic - Caddo Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280691 | Baptist Health | Pharmacist | 9600 Baptist Health Dr Ste 260, Little Rock, AR 72205-6373 | 2019-11-21 |
| 1083160899 | Baptist Health | Internal Medicine | 625 United Dr, Suite 220, Conway, AR 72032-7826 | 2016-08-31 |
| 1609320563 | Baptist Health | Clinic/Center | 9601 Baptist Health Dr. Ste. 330, Little Rock, AR 72205 | 2016-08-09 |
| 1518349448 | Baptist Health | General Acute Care Hospital | 109 Bowen Bnd, Wetumpka, AL 36093-2592 | 2015-06-27 |
| 1104268689 | Baptist Health | Clinic/Center | 1415 Highway 25b Ste 3, Heber Springs, AR 72543-1710 | 2013-07-24 |
| 1396080552 | Baptist Health | Clinic/Center | 7777 Highway 67 S, Gurdon, AR 71743-9101 | 2012-11-29 |
| 1033213632 | Baptist Health | Home Health | 1709 W Main St, Heber Springs, AR 72543-2835 | 2006-09-12 |
| 1164526554 | Baptist Health | Hospice Care, Community Based | 11900 Colonel Glenn Rd, Suite 2000, Little Rock, AR 72210-2820 | 2006-09-07 |
| 1609811827 | Baptist Health | Medicare Defined Swing Bed Unit | 1800 Bypass Road, Heber Springs, AR 72543 | 2006-06-19 |
| 1659971505 | Baptist Health | Respiratory Therapist, Certified | 11900 Colonel Glenn Rd Ste 2000, Little Rock, AR 72210-2829 | 2020-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAPTIST HEALTH | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| System for Award Management (SAM) Entities | BAPTIST HEALTH - FORT SMITH | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| System for Award Management (SAM) Entities | BAPTIST HEALTH CARE FOUNDATION | 301 Brown Springs Rd, Montgomery, AL 36117-7005 |
| System for Award Management (SAM) Entities | BAPTIST HEALTH CARE FOUNDATION, INC. | 1717 North E St Ste 423, Pensacola, FL 32501-6333 |
| System for Award Management (SAM) Entities | BAPTIST HEALTH FOUNDATION CORBIN, INC. | 1 Trillium Way, Corbin, KY 40701-8727 |
| New York State Corporations | BAPTIST HEALTH NURSING AND REHABILITATION CENTER, INC. | 297 No. Ballston Avenue, Scotia, New York 12302 |
| System for Award Management (SAM) Entities | BAPTIST HEALTH RICHMOND, INC. | 801 Eastern Bypass, Richmond, KY 40475-2751 |
| System for Award Management (SAM) Entities | BAPTIST HEALTH SOUTH FLORIDA, INC. | 6855 Red Rd, Coral Gables, FL 33143-3647 |
| Colorado Business Entities | Baptist Health System Foundation, Inc. | 841 Prudential Drive, Ste. 1300, Jacksonville, FL 32207 |
| Oklahoma Business Registrations | BAPTIST HEALTH SYSTEM FOUNDATION, INC. | 841 Prudential Dr Ste 1300, Jacksonville, FL 32207 |
| Street Address |
10 MONTGOMERY DRIVE |
| City | CADDO VALLEY |
| State | AR |
| Zip Code | 71923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235332 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| 1447330659 | Community Vision Center Mossco Inc Dr Randy Wayne Moss Od | Optometrist | 109 Wp Malone, Arkadelphia, AR 71923 | 2006-10-16 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CADDO VALLEY |
| Zip Code | 71923 |
Please comment or provide details below to improve the information on BAPTIST HEALTH.
| 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.