Healthcare Provider Details

I. General information

NPI: 1891635074
Provider Name (Legal Business Name): BOSTON MOUNTAIN RURAL HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E MAIN ST
MOUNTAIN VIEW AR
72560-6587
US

IV. Provider business mailing address

PO BOX 1060
MARSHALL AR
72650-1060
US

V. Phone/Fax

Practice location:
  • Phone: 870-269-2995
  • Fax: 877-550-1907
Mailing address:
  • Phone: 870-448-5733
  • Fax: 870-448-3767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE ACKERSON
Title or Position: CEO
Credential: CEO
Phone: 870-448-5733