Midway Medical Clinic

LBN: White River Health System, Inc.
Midway Medical Clinic is an health care organization with primary practice located at 195 Hospital Dr , Cherokee Village AR 72529-7314. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. White River Health System, Inc. can be contacted via phone (870) 257-6060, or through Baxter, Shawna via phone (870) 262-5545.

Contact Information

Primary practice address
195 Hospital Dr Cherokee Village AR 72529-7314
Phone: (870) 257-6060
Fax: (870) 257-7667
Website:
Map and Directions
Authorized official contact:
Name: Baxter, Shawna
Phone: (870) 262-5545

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1568432144
LBN Legal business name White River Health System, Inc.
DBA Doing business as Midway Medical Clinic
Authorized official Baxter, Shawna
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 29th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568432144 NPPES
Arkansas MEDICAID 120685729

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