Healthcare Provider Details

I. General information

NPI: 1184594517
Provider Name (Legal Business Name): WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S MOUNTAIN AVE
SPRINGERVILLE AZ
85938-5104
US

IV. Provider business mailing address

118 S MOUNTAIN AVE
SPRINGERVILLE AZ
85938-5104
US

V. Phone/Fax

Practice location:
  • Phone: 928-333-4368
  • Fax: 928-333-4369
Mailing address:
  • Phone: 928-333-4368
  • Fax: 928-333-4369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: WESLEY BABERS
Title or Position: CEO
Credential:
Phone: 928-333-7178