Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
Melbourne Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
1526 E. MAIN ST., MELBOURNE, AR 72556
(870) 368-4344
(870) 368-3051
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-5545
(870) 262-6571
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124189729
—
AR
Enumeration date
01/24/2006
Last updated
04/29/2024
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