BAXTER HEALTH UROLOGY CLINIC
NPI 1982450706
Urology in Mountain Home, AR

Active since April 24, 2024CLIA 04D2305213 · Waiver
15 GREEN VALLEY DR STE 100, MOUNTAIN HOME, AR 72653(870) 701-0490(870) 701-0491 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Baxter Health Urology Clinic NPPES

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

BAXTER HEALTH UROLOGY CLINIC (NPI 1982450706) is a healthcare organization registered as an urology in Mountain Home, Arkansas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982450706
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBAXTER REGIONAL ENTERPRISES, LLC
Location Address15 GREEN VALLEY DR STE 100Mountain Home, AR 72653-8102
Mailing Address15 Green Valley DrMountain Home, AR 72653-8102 · (870) 701-0490 · Fax (870) 701-0491
Fax(870) 701-0491
Organization SubpartNo
Authorized OfficialDebra HenryCfo · (870) 508-1003
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
NPI 1982450706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
15 GREEN VALLEY DR STE 100, Mountain Home, AR 72653

Other Names 1

Doing Business AsBaxter Health Urology 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

Accepted Insurance

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 04D2305213

Baxter Health Urology Clinic · Mountain Home, AR
Active · expires May 27, 2028
CLIA Number04D2305213
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorJason T. Lindsay
Laboratory Phone(870) 701-0490
Laboratory LocationBaxter Health Urology Clinic15 Green Valley Drive Suite 100, Mountain Home, AR 72653
CLIA data matches this NPI record on: Address Name 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 Regional Enterprises, LLC's NPI number?

The NPI number for Baxter Regional Enterprises, LLC is 1982450706. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Baxter Health Urology Clinic.

Where is Baxter Regional Enterprises, LLC located?

Baxter Regional Enterprises, LLC is located at 15 Green Valley Dr Ste 100, Mountain Home, AR 72653. The listed phone number is (870) 701-0490.

What is Baxter Regional Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Baxter Regional Enterprises, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2305213) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baxter Regional Enterprises, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Baxter Regional Enterprises, LLC 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 Regional Enterprises, LLC was last updated on April 24, 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.