# WHITE RIVER HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WHITE RIVER MED PHYSICIANS GROUP/ PAIN MANAGEMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558447599
- **Authorized official:** SHAWNA BAXTER (PROVIDER ENROLLMENT)
- **Authorized official phone:** (870) 262-5545

## Contact information

- **Practice address:** 1700 HARRISON ST STE T, BATESVILLE, AR 72501-7315
- **Practice address phone:** (870) 262-6155
- **Practice address fax:** (870) 262-6152
- **Mailing address:** 1710 HARRISON ST, BATESVILLE, AR 72501-7303
- **Mailing address phone:** (870) 262-6155
- **Mailing address fax:** (870) 262-6512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 05/02/2024