BOSTON MOUNTAIN RURAL HEALTH CENTER INC – NPI #1720096027
Clinic/Center

BOSTON MOUNTAIN RURAL HEALTH CENTER INC is an AHC clinic located in MARSHALL, AR. NPPES has assigned the NPI number 1720096027 to BOSTON MOUNTAIN RURAL HEALTH CENTER INC on August 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 7 years ago on Jan 25, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOSTON MOUNTAIN RURAL HEALTH CENTER INC below.

NPI Profile for
BOSTON MOUNTAIN RURAL HEALTH CENTER INC

NPI Number
1720096027
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSTON MOUNTAIN RURAL HEALTH CENTER INC
Primary location
2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650-1060
Phone: (870) 448-5733 Fax: (870) 448-4769
Mailing address
PO BOX 1060
MARSHALL, AR 72650-1060
Phone: (870) 448-5733 Fax: (870) 448-4769
Organization Subpart
No
Authorized Official
DEBBIE ACKERSON
CEO
Phone: (870) 448-5733
Updated
Identifiers

Identifiers for BOSTON MOUNTAIN RURAL HEALTH CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSAR5B477
OTHERRAILROAD MEDICARE GROUPARDA1111
MEDICAIDAR124795749
MEDICAIDAR149029749
MEDICAIDAR150794749
MEDICAIDAR133965749
MEDICAIDAR135037749
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.