# WHITE RIVER HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Newport Diagnostic Medical Clinic, White River Health Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871609743
- **Authorized official:** SHAWNA BAXTER (PROVIDER ENROLLMENT)
- **Authorized official phone:** (870) 262-5545

## Contact information

- **Practice address:** 2200 MALCOLM AVE, SUITE B, NEWPORT, AR 72112-3668
- **Practice address phone:** (870) 523-9270
- **Mailing address:** 1710 HARRISON ST, BATESVILLE, AR 72501-7303
- **Mailing address phone:** (870) 523-9270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 05/30/2024