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General NPI Number Information
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NPI Number | 1295285906
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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 | 10/05/2016
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 175 VOLUNTEER PKWY
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City | CLINTON
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State | AR
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Zip | 72031-8001
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Country | US
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Telephone | 501-745-3033
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Fax | 501-745-8099
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | CLINTON
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State | AR
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Zip | 72031-0429
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Country | US
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Telephone | 501-745-3033
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Fax | 501-745-8099
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Authorized Official
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Title or Position | CFO/VP TREASURER
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Name | LAURA GILLENWATER
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Credential | CPA
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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