BAXTER HEALTH REPPELL DIABETES CLINIC
NPI 1437423472
Clinic/Center in Mountain Home, AR

Active since March 07, 2012CLIA 04D2286434 · Waiver
614 BROADMOOR DR, MOUNTAIN HOME, AR 72653(870) 508-3870 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, Apr 4, 2022, Oct 3, 2019 and 1 more (4 updates tracked since 2018).

About Baxter Health Reppell Diabetes Clinic NPPES

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

BAXTER HEALTH REPPELL DIABETES CLINIC (NPI 1437423472) is a healthcare organization registered as a clinic/center in Mountain Home, Arkansas and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through July 27, 2027, maintains a secondary practice location in Mountain Home, and lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1437423472
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBAXTER COUNTY REGIONAL HOSPITAL, INC
Location Address614 BROADMOOR DRMountain Home, AR 72653-2903
Mailing Address614 Broadmoor DrMountain Home, AR 72653-2903 · (870) 508-3870
Organization SubpartYesParent: Baxter County Regional Hospital,inc
Authorized OfficialDebra HenryCfo · (870) 508-1003
Enumeration DateMarch 7, 2012
Last NPPES UpdateJuly 17, 20234 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1437423472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
614 BROADMOOR DR, Mountain Home, AR 72653

Other Names 2

Doing Business AsBaxter Health Reppell Diabetes Clinic
Doing Business AsBaxter Health Fairlamb Senior Clinic

Secondary Practice Location 1

Location 1622 Broadmoor DrMountain Home, AR 72653-2903 · Phone (870) 508-1765

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baxter Health Reppell Diabetes Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Baxter Health Reppell Diabetes Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1063162287
622 BROADMOOR DR
Mountain Home, AR 72653
(870) 508-1765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114681053
2178 HIGHWAY 62 412
Highland, AR 72542
(870) 994-2202
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1114308707
6924 GEYER SPRINGS RD
Little Rock, AR 72209
(501) 562-1463
✔ PECOS✔ Accepts Medicare114 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 04D2286434

Baxter Health Repell Diabetes Clinic · Mountain Home, AR
Active · expires Jul 27, 2027
CLIA Number04D2286434
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Christopher Webb
Laboratory Phone(870) 508-1765
Laboratory LocationBaxter Health Repell Diabetes Clinic622 Broadmore Drive, Mountain Home, AR 72653
CLIA data matches this NPI record on: 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 Baxter County Regional Hospital, Inc's NPI number?

The NPI number for Baxter County Regional Hospital, Inc is 1437423472. It was assigned to this organization in the NPPES registry on March 7, 2012. The provider is doing business as Baxter Health Reppell Diabetes Clinic and Baxter Health Fairlamb Senior Clinic.

Where is Baxter County Regional Hospital, Inc located?

Baxter County Regional Hospital, Inc is located at 614 Broadmoor Dr, Mountain Home, AR 72653. The listed phone number is (870) 508-3870.

What is Baxter County Regional Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Baxter County Regional Hospital, Inc enrolled in Medicare?

Yes. Baxter County Regional Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baxter County Regional Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Baxter County Regional Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baxter County Regional Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2286434) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baxter County Regional Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Baxter County Regional Hospital, Inc 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 County Regional Hospital, Inc was last updated on July 17, 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.