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Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
HARDY SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R MELTON (CLINIC DIRECTOR)
(870) 262-6039
Entity
Organization
Contact information
Practice address
195 HOSPITAL DR, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6060
Mailing address
195 HOSPITAL DR, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6060
(870) 257-7667
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770095510
BREASTCARE
AR
Enumeration date
04/17/2007
Last updated
06/03/2008
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