BAXTER HEALTH FULTON COUNTY HOSPITAL
NPI 1376391177
General Acute Care Hospital - Critical Access in Salem, AR

NPI Status: Active since May 08, 2024

Contact Information

679 N MAIN ST
SALEM, AR
ZIP 72576
Phone: (870) 895-2691
Fax: (870) 895-3306

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • CLIA Number: 04D2314854
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 12-01-2026

About BAXTER HEALTH FULTON COUNTY HOSPITAL

This page provides the complete NPI Profile along with additional information for Baxter Health Fulton County Hospital, a provider established in Salem, Arkansas operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1376391177 assigned on May 2024. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Debra Henry (Cfo)

NPI
1376391177
Provider Name
BAXTER HEALTH FULTON COUNTY HOSPITAL
Entity Type
Organization
Location Address
679 N MAIN ST SALEM, AR 72576
Location Phone
(870) 895-2691
Location Fax
(870) 895-3306
Mailing Address
679 N MAIN ST SALEM, AR 72576
Mailing Phone
(870) 895-2691
Mailing Fax
(870) 895-3306
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2024
Last Update Date
05-08-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBRA HENRY

Authorized Official Title
CFO
Authorized Official Phone
(870) 508-1003

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2314854
Facility Type
Rural Health Clinic
Certificate Effective Date
December 02, 2024
Certificate Expiration Date
December 01, 2026
Laboratory Director
CHRISTOPHER G. WEBB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Baxter Health Fulton County Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376391177, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 6 + 9 + 2 + 1 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1376391177.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Community/Behavioral Health
679 N MAIN ST
SALEM, AR 72576
Nurse Practitioner (Family)
679 N MAIN ST, NORTH ARKANSAS FAMILY CLINIC
SALEM, AR 72576
Specialist/Technologist (Athletic Trainer)
679 N MAIN ST
SALEM, AR 72576
Physical Therapist
679 N MAIN ST
SALEM, AR 72576
Nurse Practitioner (Family)
679 N MAIN ST
SALEM, AR 72576
Physical Therapist
679 N MAIN ST
SALEM, AR 72576
Physical Therapy Assistant
679 N MAIN ST
SALEM, AR 72576
General Acute Care Hospital (Critical Access)
679 N MAIN ST
SALEM, AR 72576
Home Health
679 N MAIN ST
SALEM, AR 72576
Emergency Medicine
679 N MAIN ST
SALEM, AR 72576
Emergency Medicine
679 N MAIN ST
SALEM, AR 72576
Medicare Defined Swing Bed Unit
679 N MAIN ST
SALEM, AR 72576

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376391177, enumerated as an "organization" on May 08, 2024.

The provider is located at 679 N MAIN ST SALEM, AR 72576 and the phone number is (870) 895-2691.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.