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BAXTER HEALTH COCHRAN INTERNAL MEDICINE CLINIC
NPI 1689432304
Internal Medicine in Mammoth Spring, AR

Active since March 07, 2024CLIA 04D2303173 · Waiver
277 MAIN STREET, STE 2, MAMMOTH SPRING, AR 72554(870) 907-7024 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baxter Health Cochran Internal Medicine Clinic NPPES

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

BAXTER HEALTH COCHRAN INTERNAL MEDICINE CLINIC (NPI 1689432304) is a healthcare organization registered as an internal medicine in Mammoth Spring, Arkansas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689432304
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBAXTER REGIONAL HEALTH SYSTEM
Location Address277 MAIN STREET, STE 2Mammoth Spring, AR 72554
Mailing Address624 Hospital DrMountain Home, AR 72653-2955 · (870) 907-7024
Phone(870) 907-7024
Organization SubpartNo
Authorized OfficialDebra HenryCfo · (870) 508-1003
Enumeration DateMarch 7, 2024
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1689432304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
277 MAIN STREET, Mammoth Spring, AR 72554
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Other Names 1

Doing Business AsBaxter Health Cochran Internal Medicine 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

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 04D2303173

Baxter Health Cochran Internal Medicine Clinic · Mammoth Spring, AR
Active · expires Apr 21, 2028
CLIA Number04D2303173
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorDr. Christopher Webb
Laboratory Phone(870) 907-7024
Laboratory LocationBaxter Health Cochran Internal Medicine Clinic277 Main St Suite 2, Mammoth Spring, AR 72554
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

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

BAXTER REGIONAL HEALTH SYSTEM
Family Medicine
277 MAIN STREET
MAMMOTH SPRING, AR 72554
Fulton County (870) 269-3455

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 1689432304. It was assigned to this organization in the NPPES registry on March 7, 2024. The provider is doing business as Baxter Health Cochran Internal Medicine Clinic.

Where is Baxter Regional Health System located?

Baxter Regional Health System is located at 277 Main Street Ste 2, Mammoth Spring, AR 72554. The listed phone number is (870) 907-7024.

What is Baxter Regional Health System's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Baxter Regional Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2303173) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baxter Regional Health System was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.