White River Health System, Inc., NPI 1417913419
Critical Access Hospital in Mountain View, AR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1417913419 |
| NPI Entity Type | Organization |
| Provider Name |
White River Health System, Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2106 E Main St, Mountain View, AR, US |
| Provider Mailing Address | Po Box 510, Mountain View, AR, US, 725600510 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Tammy C Gavin |
| Official Position | COO |
| Phone | 870-262-1440 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Critical Access Hospital |
| Classification | |
| Group | |
| License No. | AR4198 |
| License State | AR |
| Description | Definition to come. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 11310 | AR | BCBS | 01 |
| 157571105 | AR | MEDICAID | 05 |
| 11310 | AR | BLUE CROSS FACILITY | 01 |
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