| NPI | 1457396616 |
|---|---|
| Doing Business As | WHITE RIVER HEALTH FAMILY CARE |
| Doing Business As | STONE COUNTY PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-05-02 |