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

Active since August 13, 2014CLIA 04D2079756 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through June 23, 2028 and 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
Active · expires Jun 23, 2028
CLIA Number04D2079756
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist Health's NPI number?

The NPI number for Baptist Health is 1104235332. It was assigned to this organization in the NPPES registry on August 13, 2014.

Where is Baptist Health located?

Baptist Health is located at 10 Montgomery Drive, Caddo Valley, AR 71923. The listed phone number is (870) 245-2198.

What is Baptist Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Baptist Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2079756) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baptist Health was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.