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WHITE RIVER HEALTH SYSTEM INC. NPI 1962878207


NPI Information

NPI: 1962878207
Provider Name: WHITE RIVER HEALTH SYSTEM, INC.

Doing Business As: WHITE RIVER HEALTH FAMILY CARE

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

Specialization: Rural Health

CLIA Number: 04D0468211

Address:
409 VIRGINIA DR
BATESVILLE, AR
ZIP 72501
Phone: (707) 935-3568
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WHITE RIVER HEALTH SYSTEM, INC. is a rural health clinic center in Batesville, AR. WHITE RIVER HEALTH SYSTEM, INC. NPI is 1962878207. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As White River Health Family Care.

The provider's business location address is:

409 VIRGINIA DR
BATESVILLE, AR
ZIP 72501-329
Phone: (707) 935-3568
Fax: (870) 793-7017

The provider's authorized official is Shawna Baxter .
The authorized official title is Provider Enrollment Specialist and has the following contact phone number (870) 262-5545.

The CLIA number assigned to this NPI record is 04D0468211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2015 and was last updated on 12/5/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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: 4/28/2024

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