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Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
WHITE RIVER HEALTH FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT SPECIALIST)
(870) 262-5545
Entity
Organization
Contact information
Practice address
409 VIRGINIA DR, BATESVILLE, AR 72501-7329
(870) 793-5356
(870) 793-7017
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 793-5356
(870) 793-7017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/20/2015
Last updated
08/29/2024
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