Organization
WHITE RIVER HEALTH SYSTEM, INC
Active
Parent organization
WHITE RIVER HEALTH SYSTEM, INC.
Other names
STONE COUNTY MEDICAL CENTER SWING BED
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) 269-4361
(870) 269-3093
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-4361
(870) 262-6088
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z310
BCBS
AR
Enumeration date
04/26/2006
Last updated
05/02/2024
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