Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
WRMC ANESTHESIA GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
1710 HARRISON ST, SUITE A, BATESVILLE, AR 72501-7303
(870) 262-3280
(870) 262-3284
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-3280
(870) 262-3284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246282
MEDICARE
AR
Enumeration date
08/17/2012
Last updated
05/02/2024
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