- Enrollment id
- O20240208001717
- Enrollment state
- AR
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760263990
- Multiple npi flag
- N
- Ccn
- 047082
- Associate id
- 0648177949
- Organization name
- BAPTIST HEALTH
- Doing business as name
- BAPTIST HEALTH HOME HEALTH NETWORK - DREW COUNTY
- Incorporation date
- 1920-10-01
- Incorporation state
- AR
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 778 SCOGIN DR
- City
- MONTICELLO
- State
- AR
- Zip code
- 716555729
- Practice location type
- HHA BRANCH