Organization
WHITE RIVER RURAL HEALTH CENTER INC
Active
Parent organization
WHITE RIVER RURAL HEALTH CENTER INC
Other names
Lake City Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE RIVER RURAL HEALTH CENTER INC
Authorized official
DR. STEVEN F COLLIER (CEO)
(870) 347-2534
Entity
Organization
Contact information
Practice address
1009 HIGHWAY 18, LAKE CITY, AR 72437-9622
(870) 237-9928
(870) 237-1012
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 237-9928
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171779631
—
AR
Enumeration date
06/30/2008
Last updated
07/07/2009
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