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General NPI Number Information
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NPI Number | 1033139365
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2505 W BEEBE CAPPS EXPY STE 102
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City | SEARCY
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State | AR
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Zip | 72143-5061
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Country | US
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Telephone | 501-380-4570
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Fax | 501-380-4572
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Provider Business Mailing Address
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Address Line | 3214 E RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4810
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Country | US
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Telephone | 501-380-4570
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Fax | 501-380-4572
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Authorized Official
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Title or Position | VP
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Name | LAURA GILLENWATER
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Credential |
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Telephone | 501-380-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | MG00718
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License Number State | AR
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