Organization
WHITE RIVER HEALTH SYSTEM, INC
Active
Parent organization
WHITE RIVER HEALTH SYSTEM, INC
Other names
White River Med Physicians
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
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
(870) 262-3284
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
(870) 262-3284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102781002
—
AR
Enumeration date
06/30/2006
Last updated
05/02/2024
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