| Organization Name: | WHITE RIVER HEALTH SYSTEM, INC. |
| NPI Number: | 1508846015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA R MELTON (CLINIC SUPERVISOR) |
| Mailing Address: | 197 Hospital Dr Cherokee Village |
| State: | AR US |
| Postal Code: | 725297314 |
| Phone Number: | 8702576070 |
| Fax Number: | 8702577667 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |