BOSTON MOUNTAIN RURAL HEALTH CENTER, INC NPI 1346784162

Registered Nurse (Diabetes Educator) in Marshall, AR

NPI 1346784162 Organization Registered Nurse Diabetes Educator

About BOSTON MOUNTAIN RURAL HEALTH CENTER, INC

Boston Mountain Rural Health Center, Inc is a provider established in Marshall, Arkansas specializing in registered nurse (diabetes educator) . The NPI number of Boston Mountain Rural Health Center, Inc is 1346784162 and was assigned on December 2016. The practitioner's primary taxonomy code is 163WD0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Boston Mountain Rural Health Center, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Becky Blair (Cfo)

NPI

1346784162

Provider NameBOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Provider Location Address2263 HIGHWAY 65 NORTH MARSHALL, AR 72650
Provider Mailing AddressPO BOX 1060 MARSHALL, AR 72650
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-13-2016
Last Update Date12-13-2016


Primary Taxonomy

Taxonomy Code163WD0400X
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationDiabetes Educator

Business Address

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
2263 HIGHWAY 65 NORTH
MARSHALL, AR
ZIP 72650
Phone: (870) 448-5733

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Mailing Address

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
PO BOX 1060
MARSHALL, AR
ZIP 72650
Phone: (870) 448-5101



Authorized Official

Authorized Official Name BECKY BLAIR
Authorized Official TitleCFO
Authorized Official Phone(870) 448-5733

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750386553DR. LARRY BRYAN JENNINGS DO
Individual
Family Medicine2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1790058709MRS. AMBER N TILLEY APN - FNP
Individual
Nurse Practitioner (Family)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1275932634 MACY ANNETTE MASSEY CPNP-PC
Individual
Nurse Practitioner (Pediatrics)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1538530316 NEIL LANGER I MSN, RN, NP-C
Individual
Nurse Practitioner (Family)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1720096027BOSTON MOUNTAIN RURAL HEALTH CENTER INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.