BOSTON MOUNTAIN RURAL HEALTH CENTER INC NPI 1720096027

Clinic/Center (Federally Qualified Health Center (FQHC)) in Marshall, AR

NPI 1720096027 Organization Clinic/Center Federally Qualified Health Center (FQHC)

About BOSTON MOUNTAIN RURAL HEALTH CENTER INC

Boston Mountain Rural Health Center Inc is a primary care provider established in Marshall, Arkansas specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Boston Mountain Rural Health Center Inc is 1720096027 and was assigned on August 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Debbie Ackerson (Ceo)

A primary care provider (PCP) like Boston Mountain Rural Health Center Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1720096027

Provider NameBOSTON MOUNTAIN RURAL HEALTH CENTER INC
Provider Location Address2263 HIGHWAY 65 NORTH MARSHALL, AR 72650
Provider Mailing AddressPO BOX 1060 MARSHALL, AR 72650
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-03-2006
Last Update Date01-25-2019


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

BOSTON MOUNTAIN RURAL HEALTH CENTER INC
2263 HIGHWAY 65 NORTH
MARSHALL, AR
ZIP 72650
Phone: (870) 448-5733
Fax: (870) 448-4769

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Mailing Address

BOSTON MOUNTAIN RURAL HEALTH CENTER INC
PO BOX 1060
MARSHALL, AR
ZIP 72650
Phone: (870) 448-5733
Fax: (870) 448-4769



Authorized Official

Authorized Official Name DEBBIE ACKERSON
Authorized Official TitleCEO
Authorized Official Phone(870) 448-5733

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
124795749MEDICAID (05)AR
133965749MEDICAID (05)AR
149029749MEDICAID (05)AR
150794749MEDICAID (05)AR
5B477OTHER (01)AR
135037749MEDICAID (05)AR
DA1111OTHER (01)AR

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750386553DR. LARRY BRYAN JENNINGS DO
Individual
Family Medicine2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1790058709MRS. AMBER N TILLEY APN - FNP
Individual
Nurse Practitioner (Family)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1275932634 MACY ANNETTE MASSEY CPNP-PC
Individual
Nurse Practitioner (Pediatrics)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1538530316 NEIL LANGER I MSN, RN, NP-C
Individual
Nurse Practitioner (Family)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733
1346784162BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Organization
Registered Nurse (Diabetes Educator)2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650
(870) 448-5733

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.