BAXTER HEALTH CARDIOLOGY CLINIC AT HARRISON
NPI 1588329056
Specialist in Harrison, AR

Q: What is Baxter County Regional Hospital Inc's NPI number?

The NPI number for Baxter County Regional Hospital Inc is 1588329056. It was assigned to this organization in the NPPES registry on November 1, 2021. The provider is doing business as Baxter Health Cardiology Clinic At Harrison.

Q: What is Baxter County Regional Hospital Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 01, 2021CLIA 04D2298323 · Waiver

1420 HIGHWAY 62 65 N STE 2, HARRISON, AR 72601(870) 508-1000 Get Directions Write a Review

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

Record update history: Aug 18, 2023, Jul 19, 2023, Nov 2, 2021 (3 updates tracked since 2021).

On this page

About Baxter Health Cardiology Clinic At Harrison NPPES

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

BAXTER HEALTH CARDIOLOGY CLINIC AT HARRISON (NPI 1588329056) is a healthcare organization registered as a specialist in Harrison, Arkansas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 31, 2028, maintains a secondary practice location in Harrison, and lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1588329056

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBAXTER COUNTY REGIONAL HOSPITAL INC

Location Address1420 HIGHWAY 62 65 N STE 2Harrison, AR 72601-1959

Mailing Address1420 Highway 62 65 N Ste 2Harrison, AR 72601-1959

Phone(870) 508-1000

Organization SubpartYes

Authorized OfficialDebra HenryCfo · (870) 508-1003

Enumeration DateNovember 1, 2021

Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1588329056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1420 HIGHWAY 62 65 N STE 2, Harrison, AR 72601

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Other Names 1

Doing Business AsBaxter Health Cardiology Clinic At Harrison

Secondary Practice Location 1

Location 1114 E Crandall Ave Ste CHarrison, AR 72601-3628 · Phone (870) 916-2693

Group Practice 1

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baxter Health Cardiology Clinic At Harrison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArkansasEnrollment IDO20220104001227Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Baxter Health Cardiology Clinic At Harrison, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ronald Revard, MD

Internal Medicine

NPI 1710970637

702 N. SPRING STREET
Harrison, AR 72601

(870) 365-0761

✔ PECOS✔ Accepts Medicare2.6 mi

Cherisse Baldeo, M.D.

Cardiovascular Disease (Cardiology)

NPI 1336590363

114 E CRANDALL AVE
Harrison, AR 72601

(870) 741-6065

✔ PECOS✔ Accepts Medicare2.7 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 04D2298323

Baxter Health Cardiology Clinic At Harrison · Harrison, AR

Active · expires Jan 31, 2028

CLIA Number04D2298323

Laboratory TypePhysician Office

Certificate Effective DateFebruary 1, 2026

Certificate Expiration DateJanuary 31, 2028

Laboratory DirectorDr. Christopher Webb

Laboratory Phone(870) 741-6065

Laboratory LocationBaxter Health Cardiology Clinic At Harrison114 E Crandall Ave Suite D, Harrison, AR 72601

CLIA data matches this NPI record on: Name

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 1588329056. It was assigned to this organization in the NPPES registry on November 1, 2021. The provider is doing business as Baxter Health Cardiology Clinic At Harrison.

Where is Baxter County Regional Hospital Inc located?

Baxter County Regional Hospital Inc is located at 1420 Highway 62 65 N Ste 2, Harrison, AR 72601. The listed phone number is (870) 508-1000.

What is Baxter County Regional Hospital Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Baxter County Regional Hospital Inc enrolled in Medicare?

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

When is Baxter County Regional Hospital Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Baxter County Regional Hospital Inc, in Cardiovascular Disease (Cardiology) and Internal Medicine. 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, 2 practice within 10 miles. 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 04D2298323) is associated with this NPI, valid through January 31, 2028. 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 August 18, 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.