Healthcare Provider Details

I. General information

NPI: 1861311482
Provider Name (Legal Business Name): WHITE COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 E RACE AVE
SEARCY AR
72143-4810
US

IV. Provider business mailing address

3214 E RACE AVE
SEARCY AR
72143-4810
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-6121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA GILLENWATER
Title or Position: CFO
Credential:
Phone: 501-380-1010