| White River Health System, Inc. | |
|
197 Hospital Dr Ste B Cherokee Village AR 72529-7315 | |
| (870) 257-5118 | |
| (870) 257-6215 |
| Full Name | White River Health System, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 197 Hospital Dr Ste B, Cherokee Village, Arkansas |
| Authorized Official Name and Position | Shawna Baxter (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 8702575118 |
| 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) 262-5545 | White River Health System, Inc. 197 Hospital Dr Ste B Cherokee Village AR 72529-7315 Ph: (870) 257-5118 |
| NPI Number | 1104642354 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20241224000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104642354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Terry L Burns |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801908108 PECOS PAC ID: 0244206860 Enrollment ID: I20051014000583 |
| Provider Name | Amanda B Dunavant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964447 PECOS PAC ID: 7214274190 Enrollment ID: I20190130002725 |
| Provider Name | Sarah Deanne Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578372660 PECOS PAC ID: 2062941412 Enrollment ID: I20250129003181 |
Internal Medicine Diagnostics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 197 Hospital Dr, Suite B, Cherokee Village, AR 72529 Phone: 870-257-5118 | |
Oldenberg Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 West Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-257-4110 Fax: 870-257-4112 | |
Urban Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 Phone: 870-257-4110 Fax: 870-257-4112 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Hospital Dr Ste C, Cherokee Village, AR 72529 Phone: 870-257-6040 Fax: 870-257-6666 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 Hospital Dr, Cherokee Village, AR 72529 Phone: 870-257-6070 Fax: 870-257-7667 | |
White River Health System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Hospital Dr, Cherokee Village, AR 72529 Phone: 870-257-6060 Fax: 870-257-7667 |