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General NPI Number Information
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NPI Number | 1972913465
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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 | 05/06/2014
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2902 E RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4806
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Country | US
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Telephone | 501-268-5433
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Fax | 501-380-8406
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Provider Business Mailing Address
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Address Line | 2900 HAWKINS DR
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City | SEARCY
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State | AR
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Zip | 72143-4802
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Country | US
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Telephone | 501-278-2800
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Fax |
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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