| White River Health System, Inc. | |
|
58 E River Dr Strawberry AR 72469-8016 | |
| (870) 528-4081 | |
| (870) 528-3286 |
| Full Name | White River Health System, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 58 E River Dr, Strawberry, Arkansas |
| Authorized Official Name and Position | Shawna Baxter (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8702625545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Health System, Inc. 1710 Harrison St Batesville AR 72501-7303 Ph: (870) 528-4081 | White River Health System, Inc. 58 E River Dr Strawberry AR 72469-8016 Ph: (870) 528-4081 |
| NPI Number | 1578543070 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20080528000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578543070 | NPI | - | NPPES |
| 131790729 | Medicaid | AR | |
| 5B935 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |