Healthcare Provider Details

I. General information

NPI: 1972913465
Provider Name (Legal Business Name): WHITE COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 E RACE AVE
SEARCY AR
72143-4806
US

IV. Provider business mailing address

2900 HAWKINS DR
SEARCY AR
72143-4802
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-5433
  • Fax: 501-380-8406
Mailing address:
  • Phone: 501-278-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA GILLENWATER
Title or Position: CFO/VP TREASURER
Credential: CPA
Phone: 501-380-1010