Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Baxter Regional Center for Integrative Medicine, LLC

Organization Family Medicine Physician · NPI 1922475045

Baxter Regional Center for Integrative Medicine, LLC provides Family Medicine Physician services in Mountain Home, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 Broadmoor Dr
Mountain Home, AR 72653-2903 Not confirmed with CMS for 11 years — call before visiting
Phone: (870) 508-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E2090 (AR)

Record details

NPI number1922475045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Peterson — Manager · (870) 508-1018
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015
Mailing address610 Broadmoor Dr, Mountain Home, AR 72653-2903

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