Healthcare Provider Details

I. General information

NPI: 1184911901
Provider Name (Legal Business Name): WHITE COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 RODGERS DR STE A
SEARCY AR
72143-7434
US

IV. Provider business mailing address

415 RODGERS DR STE A
SEARCY AR
72143-7434
US

V. Phone/Fax

Practice location:
  • Phone: 501-278-3297
  • Fax:
Mailing address:
  • Phone: 501-278-3297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STUART RANDALL HILL
Title or Position: VP- TREASURER
Credential:
Phone: 501-380-1004