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NPI Code Detail

MEDICARE: WHITE COUNTY MEDICAL CENTER

MEDICARE: WHITE COUNTY MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629311253
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITE COUNTY MEDICAL CENTER
Provider Business Mailing Address
First Line : 103 WOODLANE DR
Second Line :
City : SEARCY
State : AR
Zip : 72143-6113
Country : US
Telephone Number : 501-268-3733
Fax Number : 501-207-6139
Provider Business Practice Location Address
First Line : 103 WOODLANE DR
Second Line :
City : SEARCY
State : AR
Zip : 72143-6113
Country : US
Telephone Number : 501-268-3733
Fax Number : 501-207-6139
Authorized Official
Title or Position : VP, TREASURER
Name : STUART R HILL
Credential :
Telephone Number : 501-380-1004
Provider Enumeration Date : 04/02/2013
Last Update Date : 01/11/2023

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Directions to “WHITE COUNTY MEDICAL CENTER ” Practice Location

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