BOSTON MOUNTAIN RURAL HEALTH CENTER, INC – NPI #1922625706
Clinic/Center

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC is an AHC clinic located in CLINTON, AR. NPPES has assigned the NPI number 1922625706 to BOSTON MOUNTAIN RURAL HEALTH CENTER, INC on June 29, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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)

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
1922625706
Enumeration Date

(about 6 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
465 MEDICAL CENTER PKWY
CLINTON, AR 72031-7946
Phone: (501) 745-8811 Fax: (501) 745-5042
Mailing address
PO BOX 1060
MARSHALL, AR 72650-1060
Phone: (870) 448-5733 Fax: (870) 448-3767
Organization Subpart
Yes - BOSTON MOUNTAIN RURAL HEALTH CENTER, INC is subpart of another organization.
Authorized Official
DEBBIE ACKERSON
CEO
Phone: (870) 448-5733
Updated
Certification Date
Jun 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
261QD0000X
- Clinic/Center / Dental

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.