# WHITE COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITE COUNTY MEDICAL CENTER
- **Other names:** Unity Health Green Family Practice Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205596566
- **Legal business name:** WHITE COUNTY MEDICAL CENTER
- **Authorized official:** LAURA GILLENWATER CPA (CFO/VP TREASURER)
- **Authorized official phone:** (501) 380-1010

## Contact information

- **Practice address:** 1200 MCLAIN ST STE G, NEWPORT, AR 72112-3550
- **Practice address phone:** (870) 523-0193
- **Practice address fax:** (870) 523-3583
- **Mailing address:** 1200 MCLAIN ST STE G, NEWPORT, AR 72112-3550
- **Mailing address phone:** (870) 523-0193
- **Mailing address fax:** (870) 523-3583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2021
- **Last updated:** 09/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 278094002 | — | AR |