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WHITE RIVER HEALTH SYSTEM INC. NPI 1578543070


NPI Information

NPI: 1578543070
Provider Name: WHITE RIVER HEALTH SYSTEM, INC.

Doing Business As: STRAWBERRY MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D0927503

Address:
58 E RIVER DR
STRAWBERRY, AR
ZIP 72469
Phone: (870) 528-4081
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WHITE RIVER HEALTH SYSTEM, INC. is a rural health clinic center in Strawberry, AR. WHITE RIVER HEALTH SYSTEM, INC. NPI is 1578543070. The provider is registered as an organization entity type.
The provider Is Doing Business As Strawberry Medical Clinic.

The provider's business location address is:

58 E RIVER DR
STRAWBERRY, AR
ZIP 72469-016
Phone: (870) 528-4081
Fax: (870) 528-3286

The provider's authorized official is Heather Billingsley .
The authorized official title is Contract Compliance Specialist and has the following contact phone number (870) 262-5545.

The CLIA number assigned to this NPI record is 04D0927503 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 6/21/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1131790729MEDICAIDARKANSAS
25B935OTHERARKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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