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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1871839613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE COUNTY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	710 MARION ST
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4832
Country	:	US
Telephone Number	:	501-278-8370
Fax Number	:	501-278-8371

Provider Business Practice Location Address
First Line	:	710 MARION ST
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4832
Country	:	US
Telephone Number	:	501-278-8370
Fax Number	:	501-278-8371

Authorized Official
Title or Position	:	CFO/VA TREASURER
Name	:	LAURA GILLENWATER
Credential	:	CPA
Telephone Number	:	501-380-1010

Provider Enumeration Date	:	12/26/2012
Last Update Date	:	09/18/2025

Similar Medicare Providers

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Directions to “WHITE COUNTY MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

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