Organization
WHITE COUNTY MEDICAL CENTER
Active
Parent organization
WHITE COUNTY MEDICAL CENTER
Other names
White County Medical Center - South Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE COUNTY MEDICAL CENTER
Authorized official
MR. BILLY J ROBERTS (ASSISTANT VICE PRESIDENT, FISCAL SE)
(501) 380-4655
Entity
Organization
Contact information
Practice address
3109 E MOORE AVE, SEARCY, AR 72143-4847
(501) 380-4700
(501) 380-4741
Mailing address
3109 E MOORE AVE, SEARCY, AR 72143-4847
(501) 380-4700
(501) 380-4741
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4330
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160028514
—
AR
01
—
17035
ARK BCBS PROVIDER NUMBER
AR
Enumeration date
07/21/2006
Last updated
09/14/2011
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