| NPI | 1982409249 |
|---|---|
| Doing Business As | BAXTER HEALTH MARKET STREET FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | NICOLE GRAHAM VACCARELLA VP General Counsel 870-508-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |