BAPTIST HEALTH
NPI 1104235332
Clinic/Center - Rural Health in Caddo Valley, AR

Active since August 13, 2014
10 MONTGOMERY DRIVE, CADDO VALLEY, AR 71923(870) 245-2198 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Baptist Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST HEALTH (NPI 1104235332) is a healthcare organization registered as a rural health in Caddo Valley, Arkansas and active in the NPI registry since August 2014. The organization lists Troy Wells, President, as its authorized official.

NPPES Registry Identity

NPI1104235332
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBAPTIST HEALTH
Location Address10 MONTGOMERY DRIVECaddo Valley, AR 71923
Mailing Address10 Montgomery DriveCaddo Valley, AR 71923 · (870) 245-2198
Organization SubpartNo
Authorized OfficialTroy WellsPresident · (501) 202-2080
Enumeration DateAugust 13, 2014
Last NPPES UpdateSeptember 18, 2015
NPI 1104235332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
10 MONTGOMERY DRIVE, Caddo Valley, AR 71923

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2079756

Baptist Health Family Clinic - Caddo Valley · Arkadelphia, AR
Expired · Jun 23, 2026
CLIA Number04D2079756
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 24, 2024
Certificate Expiration DateJune 23, 2026
Laboratory DirectorDr. Noland H. Hagood
Laboratory Phone(870) 245-2198
Laboratory LocationBaptist Health Family Clinic - Caddo Valley10 Montgomery Dr, Arkadelphia, AR 71923
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104235332, enumerated as an "organization" on August 13, 2014.

The provider is located at 10 MONTGOMERY DRIVE CADDO VALLEY, AR 71923 and the phone number is (870) 245-2198.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.