# WHITE RIVER HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITE RIVER HEALTH SYSTEM, INC.
- **Other names:** STONE COUNTY MEDICAL CENTER ER CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427149814
- **Legal business name:** WHITE RIVER HEALTH SYSTEM, INC.
- **Authorized official:** SHAWNA BAXTER (PROVIDER ENROLLMENT)
- **Authorized official phone:** (870) 262-5545

## Contact information

- **Practice address:** 2106 E. MAIN ST., MOUNTAIN VIEW, AR 72560-6439
- **Practice address phone:** (870) 262-5056
- **Practice address fax:** (870) 262-6088
- **Mailing address:** 1710 HARRISON ST, BATESVILLE, AR 72501-7303
- **Mailing address phone:** (870) 269-4361
- **Mailing address fax:** (870) 269-3093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 282NC0060X | Critical Access Hospital | — | NULL | — |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 05/02/2024