1. Home
  2. Directory
  3. Arkansas
  4. Harrison
  5. Family Medicine
  6. NPI Profile

BAXTER HEALTH WILLOW STREET FAMILY CLINIC
NPI 1356976047
Family Medicine in Harrison, AR

Active since March 03, 2020CLIA 04D2187783 · Waiver
406 N WILLOW ST, HARRISON, AR 72601(870) 741-3252 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Mar 3, 2020 (2 updates tracked since 2020).

About Baxter Health Willow Street Family Clinic NPPES

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

BAXTER HEALTH WILLOW STREET FAMILY CLINIC (NPI 1356976047) is a healthcare organization registered as a family medicine in Harrison, Arkansas and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356976047
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAXTER REGIONAL HEALTH SYSTEM
Location Address406 N WILLOW STHarrison, AR 72601-3517
Mailing Address406 N Willow StHarrison, AR 72601-3517
Phone(870) 741-3252
Organization SubpartNo
Authorized OfficialDebra HenryCfo · (870) 508-1003
Enumeration DateMarch 3, 2020
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1356976047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
406 N WILLOW ST, Harrison, AR 72601
Open in Google Maps ↗

Other Names 1

Doing Business AsBaxter Health Willow Street Family Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 04D2187783

Baxter Health Willow Street Family Clinic · Harrison, AR
Active · expires Jul 7, 2028
CLIA Number04D2187783
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorDr. Christopher Webb
Laboratory Phone(870) 741-3252
Laboratory LocationBaxter Health Willow Street Family Clinic406 North Willow Street, Harrison, AR 72601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLOW STREET HEALTH CENTER, LTD
Family Medicine
406 N WILLOW ST
HARRISON, AR 72601
Boone County (870) 741-3252
MICHELLE LEE HENDERSON APN
Nurse Practitioner (Family)
406 N WILLOW ST
HARRISON, AR 72601
Boone County (870) 741-3252
DR. GEOFFREY LAWRENCE DUNAWAY MD
Family Medicine
406 N WILLOW ST
HARRISON, AR 72601
Boone County (870) 741-3252

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 Baxter Regional Health System's NPI number?

The NPI number for Baxter Regional Health System is 1356976047. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Baxter Health Willow Street Family Clinic.

Where is Baxter Regional Health System located?

Baxter Regional Health System is located at 406 N Willow St, Harrison, AR 72601. The listed phone number is (870) 741-3252.

What is Baxter Regional Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Baxter Regional Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2187783) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baxter Regional Health System accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Baxter Regional Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baxter Regional Health System was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.