BAXTER REGIONAL HEALTH SYSTEM (NPI# 1912365982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365982 |
| Entity Type | Organization |
| Organization Name | BAXTER REGIONAL HEALTH SYSTEM |
| Other Organization Name | BRMC HOMETOWN CLINIC AT MOUNTAIN VIE |
| Practice Address |
102 Mountain Place Drive Suite C Mountain View AR 72560 |
| Mailing Address |
Po Box 1695 Mountain View AR 72560-1695 |
| Practice Telephone | 8702693447 |
| Mailing Telephone | 8702693447 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-03-21 |
| Authorized Official Name | LEONARD B LARRY (VICE PRESIDENT) |
| Authorized Official Telephone | 8704241000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BRMC Hometown Clinic at Mountain VIe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526888 | Baxter Regional Health System | Nurse Practitioner | 2161 Highway 56, Calico Rock, AR 72519-7009 | 2017-08-31 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1356976047 | Baxter Regional Health System | Family Medicine | 406 N Willow St, Harrison, AR 72601-3517 | 2020-03-03 |
| 1619516200 | Baxter Regional Health System | Family Medicine | 277 Main Street, Mammoth Spring, AR 72554 | 2019-12-30 |
| 1124513874 | Baxter Regional Health System | Internal Medicine | 1402 N Kentucky Ave, West Plains, MO 65775-1822 | 2018-06-26 |
| Street Address |
102 MOUNTAIN PLACE DRIVE SUITE C |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| 1366743833 | Heather A Gilbreath | Licensed Practical Nurse | 211 Blanchard Ave., Mountain View, AR 72560 | 2010-11-15 |
| Find all providers in zip 72560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1528580115 | One Medical Group, Inc. | Family Medicine | 2037 Landings Dr, Mountain View, CA 94043-0825 | 2017-07-14 |
| 1447639950 | Lee Mei | Family Medicine | 630 Bush St, Mountain View, CA 94041-2110 | 2015-05-29 |
| 1417342106 | Jonathan Hedrick | Family Medicine | 1010 Joaquin Rd Bldg 48, Mountain View, CA 94043-1242 | 2015-03-31 |
| 1366883217 | Tiffany Trieu | Family Medicine | 2500 Hospital Dr Ste 15, Mountain View, CA 94040-4106 | 2013-07-08 |
| 1851731582 | Joseph Aaron Marino | Family Medicine | 104 E Us Highway 60, Mountain View, MO 65548-7381 | 2013-06-26 |
| 1922360254 | Barbara Troupin | Family Medicine | 351 E. Evelyn Ave, Mountain View, CA 94041 | 2012-06-12 |
| 1720369267 | Ralph Jerry Mann | Family Medicine | 325 Turkey Creek Rd, Mountain View, AR 72560-7471 | 2011-08-29 |
| 1568753481 | Adegoke Olaolu Adeleke I | Family Medicine | 104 E. Highway 60, Mountain View, MO 65548-7381 | 2011-04-26 |
| 1356572101 | Steven Wayne Babcock | Family Medicine | 531 Parkway Drive, Mountain View, WY 82939 | 2009-07-28 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
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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.