Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
Midway Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
195 HOSPITAL DR, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6060
(870) 257-7667
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 257-6060
(870) 257-7667
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120685729
—
AR
Enumeration date
01/25/2006
Last updated
04/29/2024
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