# WHITE RIVER HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melbourne Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477523348
- **Authorized official:** SHAWNA BAXTER (PROVIDER ENROLLMENT)
- **Authorized official phone:** (870) 262-5545

## Contact information

- **Practice address:** 1526 E. MAIN ST., MELBOURNE, AR 72556
- **Practice address phone:** (870) 368-4344
- **Practice address fax:** (870) 368-3051
- **Mailing address:** 1710 HARRISON ST, BATESVILLE, AR 72501-7303
- **Mailing address phone:** (870) 262-5545
- **Mailing address fax:** (870) 262-6571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 04/29/2024