WHITE RIVER HEALTH SYSTEM INC. NPI 1477523348

NPI Information

WHITE RIVER HEALTH SYSTEM, INC. is a rural health clinic center in Melbourne, AR. WHITE RIVER HEALTH SYSTEM, INC. NPI is 1477523348. The provider is registered as an organization entity type.
The provider Is Doing Business As Melbourne Medical Clinic.

The provider's business location address is:

1526 E. MAIN ST.
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-4344
Fax: (870) 368-3051

The provider's authorized official is Woodrow Castleberry .
The authorized official title is Managed Care Coordin and has the following contact phone number (870) 262-1160.

The CLIA number assigned to this NPI record is 04D0468315 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 2/19/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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