White River Health System, INC

NPI #1710233010 in Mountain View, Arkansas

Provider Information

NPI Number
1710233010
Entity Type
Organization
Organization Name
White River Health System, INC
Subpart
Yes (part of a larger organization)
Parent Organization
STONE COUNTY MEDICAL CENTER
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 24, 2012
Last Updated
May 2, 2024

Practice Location

Address
2106 E MAIN ST
ZIP Code
72560-6439
Phone
(870) 269-4361

Authorized Official

Name
SHAWNA BAXTER
Title
PROVIDER ENROLLMENT
Phone
(870) 262-5545

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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