# WHITE RIVER HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WHITE RIVER HEALTH FAMILY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962878207
- **Authorized official:** SHAWNA BAXTER (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (870) 262-5545

## Contact information

- **Practice address:** 409 VIRGINIA DR, BATESVILLE, AR 72501-7329
- **Practice address phone:** (870) 793-5356
- **Practice address fax:** (870) 793-7017
- **Mailing address:** 1710 HARRISON ST, BATESVILLE, AR 72501-7303
- **Mailing address phone:** (870) 793-5356
- **Mailing address fax:** (870) 793-7017

## 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:** 08/20/2015
- **Last updated:** 08/29/2024