BOSTON MOUNTAIN RURAL HEALTH CENTER INC. (NPI# 1689221707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689221707 |
| Entity Type | Organization |
| Organization Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC. |
| Practice Address |
1103 W Main St Green Forest AR 72638-2311 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 8704485733 |
| Practice Fax Number | 8704483767 |
| Mailing Telephone | 8704485101 |
| Mailing Fax Number | 8704483767 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| 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 | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Boston Mountain Mobile Dental Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1609243674 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 609 West Clark Street, Jasper, AR 72641-0130 | 2015-08-26 |
| Street Address |
1103 W MAIN ST |
| City | GREEN FOREST |
| State | AR |
| Zip Code | 72638-2311 |
| 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 |
| 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 |
| 1104148766 | Pam Page | Occupational Therapist | 516 Cottonwood Ln, Green Forest, AR 72638-2360 | 2010-02-24 |
| Find all providers in zip 72638 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557539 | David M Robbins Dds | Clinic/Center | 241 Hobson Ave, Hot Springs, AR 71913-3724 | 2020-10-28 |
| 1710585856 | Frank A Brooks IIi Dds Pa | Clinic/Center | 2102 First National Dr, Harrison, AR 72601-6234 | 2020-10-12 |
| 1902412018 | Cave Springs Dental | Clinic/Center | 260 S Gleneagle Dr Ste C, Cave Springs, AR 72718-6011 | 2020-09-23 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1962012385 | Cynthia Landry Dds | Clinic/Center | 446 Miles St, Lepanto, AR 72354-2618 | 2020-08-01 |
| 1548878077 | Douglas M. Matthews,d.d.s.,p.a. | Clinic/Center | 350 E College St, Batesville, AR 72501-5624 | 2020-07-21 |
| 1407473481 | Simon Family Dentistry | Clinic/Center | 191 Highway 64 E, Alma, AR 72921-3306 | 2020-06-25 |
| 1912529504 | Dover Dental D.d.s., P.a. Dba Dover Family Dentistry | Clinic/Center | 400 S College St Ste 4, Mountain Home, AR 72653-3991 | 2020-05-18 |
| 1548881550 | Christi Weaver Shepard Dds, Pa | Clinic/Center | 4200 N Rodney Parham Rd Ste 200, Little Rock, AR 72212-2460 | 2020-04-30 |
| 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.