Organization
WHITE RIVER HEALTH SYSTEM, INC
Active
Other names
BATESVILLE PULMONARY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT SPECIALIST)
(870) 262-5545
Entity
Organization
Contact information
Practice address
255 VIRGINIA DR, BATESVILLE, AR 72501-7335
(870) 262-1660
(870) 262-1664
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1660
(870) 262-1664
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/25/2011
Last updated
06/12/2024
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