NPI | 1871609743 |
---|---|
Doing Business As | WHITE RIVER HEALTH FAMILY CARE |
Doing Business As | NEWPORT DIAGNOSTIC MEDICAL 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 | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-22 |
Last Update Date | 2024-05-30 |