| NPI | 1134298268 |
|---|---|
| Doing Business As | WHITE RIVER HEALTH CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-05-02 |