| White River Rural Health Center Inc | |
|
1009 Highway 18 Lake City AR 72437-9622 | |
| (870) 237-9928 | |
| (870) 237-1012 |
| Full Name | White River Rural Health Center Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1009 Highway 18, Lake City, Arkansas |
| Authorized Official Name and Position | Steven F Collier (CEO) |
| Authorized Official Contact | 8703472534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Rural Health Center Inc Po Box 497 Augusta AR 72006-0497 Ph: (870) 237-9928 | White River Rural Health Center Inc 1009 Highway 18 Lake City AR 72437-9622 Ph: (870) 237-9928 |
| NPI Number | 1861654006 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861654006 | NPI | - | NPPES |
| 171779631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |