Healthcare Provider Details

I. General information

NPI: 1083778302
Provider Name (Legal Business Name): WHITE COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S MAIN ST
SEARCY AR
72143-7321
US

IV. Provider business mailing address

3214 E RACE AVE
SEARCY AR
72143-4810
US

V. Phone/Fax

Practice location:
  • Phone: 501-278-3100
  • Fax: 501-380-1011
Mailing address:
  • Phone: 501-268-6121
  • Fax: 501-380-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberAR4331
License Number StateAR

VIII. Authorized Official

Name: MR. STUART R HILL
Title or Position: VP, TREASURER
Credential:
Phone: 501-380-1004