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WHITE RIVER HEALTH SYSTEM, INC.

Ambulatory Health Care Facilities Clinic/Center Radiology, Mammography

Provider NPI: 1245456789

Organization Information:
Organization Name:  WHITE RIVER HEALTH SYSTEM, INC.
Organization is not Subpart
Authorized Official:  LISA R MELTON  CLINIC DIRECTOR  870-262-6039

Practice Location:
195 HOSPITAL DR  CHEROKEE VILLAGE, AR 72529-7314 US
Tel: 870-257-6060  Fax: --

Business Mailing Address:
195 HOSPITAL DR  CHEROKEE VILLAGE, AR 72529-7314 US
Tel: 870-257-6060  Fax: 870-257-7667

NPI Information:
NPI: 1245456789
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QR0206XAmbulatory Health Care Facilities
Clinic/Center
Radiology, Mammography

Other Provider Identifiers:

IssuerNumberStateType
BREASTCARE770095510AR01



American Medical Association 2012 taxonomy code information

Code: 261QR0206X

Type:

Classification:



Definition:



MEDICAL JOBS AR - Page 1

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