WHITE RIVER RURAL HEALTH CENTER INC NPI 1861654006

NPI Information

NPI: 1861654006
Provider Name: WHITE RIVER RURAL HEALTH CENTER INC

Doing Business As: LAKE CITY DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1009 HIGHWAY 18
LAKE CITY, AR
ZIP 72437
Phone: (870) 237-9928
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WHITE RIVER RURAL HEALTH CENTER INC is a dental clinic center in Lake City, AR. WHITE RIVER RURAL HEALTH CENTER INC NPI is 1861654006. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake City Dental Clinic.

The provider's business location address is:

1009 HIGHWAY 18
LAKE CITY, AR
ZIP 72437-622
Phone: (870) 237-9928
Fax: (870) 237-1012

The provider's authorized official is Steven F Collier .
The authorized official title is Ceo and has the following contact phone number (870) 347-2534.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 7/7/2009.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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
1	57297	MEDICARE PIN	ARKANSAS
2	171779631	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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