Organization
WHITE RIVER HEALTH SYSTEM INC.
Active
Other names
North Complex Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEN POOLE (CLINIC DIRECTOR)
(870) 257-6066
Entity
Organization
Contact information
Practice address
195 HOSPITAL DR, SUITE C, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6040
(870) 257-7667
Mailing address
195 HOSPITAL DR, SUITE C, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6040
(870) 257-7667
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196629710
—
AR
Enumeration date
05/04/2011
Last updated
07/22/2013
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