Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
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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