Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Parent organization
WHITE RIVER HEALTH SYSTEM, INC.
Other names
STONE COUNTY MEDICAL CENTER ER CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE RIVER HEALTH SYSTEM, INC.
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
2106 E. MAIN ST., MOUNTAIN VIEW, AR 72560-6439
(870) 262-5056
(870) 262-6088
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 269-4361
(870) 269-3093
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112094002
—
AR
05
—
157571105
—
AR
01
—
57891
BCBS
AR
Enumeration date
09/28/2006
Last updated
05/02/2024
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