| NPI | 1962878207 |
|---|---|
| Doing Business As | WHITE RIVER HEALTH FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment Specialist 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2024-08-29 |