NPI 1740403294

Baxter Day Service Center, INC.

Organisation Preferred Provider Organization Mountain Home, AR

Practice location

Address: 1631 Leo Davis Dr, Mountain Home, AR 72653-9661
Phone: (870) 425-4322
Fax: (870) 424-2313

Authorised official

Name: Mary W. Pelts
Title: Deputy Director
Phone: (870) 425-4322

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1740403294
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.