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General NPI Number Information
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NPI Number | 1891590154
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Entity Type | Organization
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Legal Business Name | BAXTER COUNTY REGIONAL HOSPITAL, INC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 899 BURNETT DR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2909
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Country | US
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Telephone | 870-425-6212
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Fax | 870-508-6896
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Provider Business Mailing Address
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Address Line | 899 BURNETT DR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2909
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Country | US
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Telephone | 870-425-6212
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Fax | 870-508-6896
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Authorized Official
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Title or Position | VP GENERAL COUNSEL
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Name | NICOLE GRAHAM VACCARELLA
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Credential |
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Telephone | 870-508-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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