WHITE RIVER HEALTH SYSTEMS NPI 1225132889

NPI Information

WHITE RIVER HEALTH SYSTEMS is a primary care clinic center in Newport, AR. WHITE RIVER HEALTH SYSTEMS NPI is 1225132889. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Diagnostic Medical Clinic.

The provider's business location address is:

2200 MALCOLM AVE
SUITE B
NEWPORT, AR
ZIP 72112-668
Phone: (870) 523-9270

The provider's authorized official is Lisa R Melton .
The authorized official title is Clinic Supervisor and has the following contact phone number (870) 262-6039.

The CLIA number assigned to this NPI record is 04D1060221 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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