BOSTON MOUNTAIN RURAL HEALTH CENTER INC. (NPI# 1609243674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609243674 |
| Entity Type | Organization |
| Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC. |
| Practice Address |
609 West Clark Street Jasper AR 72641-0130 |
| Practice Telephone | 8704295106 |
| Practice Fax Number | 8704295108 |
| Mailing Telephone | 8704295106 |
| Mailing Fax Number | 8704295108 |
| Enumeration Date | 2015-08-26 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1689221707 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1103 W Main St, Green Forest, AR 72638-2311 | 2019-08-22 |
| Street Address |
609 WEST CLARK STREET |
| City | JASPER |
| State | AR |
| Zip Code | 72641-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235195306 | Jacky Fred Dunn | General Practice | 609 West Clark Street, Jasper, AR 72641-0130 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091439 | James Patrick Martin | Massage Therapist | 100 West South Street, Jasper, AR 72641 | 2019-12-23 |
| 1811442577 | Tember Mcneill | Chiropractor | 514 W. Clark Street, Suite 340, Jasper, AR 72641 | 2016-08-23 |
| 1598178493 | North Arkansas Regional Medical Center | Pediatrics | 609 W Clark, Jasper, AR 72641 | 2014-06-09 |
| 1740426287 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 504 West Court Street, Room 110, Jasper, AR 72641 | 2009-01-06 |
| 1912143280 | Linda Casey Sides | Nurse Practitioner | 502 W Court Street, Jasper, AR 72641 | 2008-12-17 |
| 1831359587 | Mary Dennise Pollyea | Social Worker | 105 Red Oak Lane, Jasper, AR 72641 | 2008-06-16 |
| 1104971373 | Johnny Lee Smith | Nurse Practitioner | 502 West Court, Jasper, AR 72641 | 2007-01-25 |
| 1720064223 | Jennifer Shepherd | Nurse Practitioner | 502 West Court Street., Jasper, AR 72641 | 2005-12-16 |
| 1780674143 | James B Justice | Family Medicine | 502 W Court, Jasper, AR 72641 | 2005-10-26 |
| 1588654982 | North Arkansas Regional Medical Center | Clinic/Center | 502 W Court St, Jasper, AR 72641 | 2005-10-26 |
| Find all providers in zip 72641 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 1639176324 | Gulf Coast Health Center Inc | Clinic/Center | 103 East Gibson, Suite 110 &112, Jasper, TX 75951 | 2005-07-07 |
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| 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 | ||||
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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.