MEDICARE: BAPTIST HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center		AR

General Provider Information

NPI Number	:	1811388457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HEALTH

Provider Business Mailing Address
First Line	:	1800 BY PASS RD
Second Line	:
City	:	HEBER SPRINGS
State	:	AR
Zip	:	72543-9135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 BY PASS RD
Second Line	:
City	:	HEBER SPRINGS
State	:	AR
Zip	:	72543-9135
Country	:	US
Telephone Number	:	501-362-0500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TROY WELLS
Credential	:
Telephone Number	:	501-202-2080

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	06/25/2019

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Directions to “BAPTIST HEALTH ” Practice Location

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