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White River Rural Health Center Inc
Dental Clinic/Center in Lake City, Arkansas
NPI 1861654006

White River Rural Health Center Inc is a Dental Clinic/Center based in Augusta, AR and is specialized in Dental. White River Rural Health Center Inc practices in Lake City, AR. The NPI Number for White River Rural Health Center Inc is 1861654006 and holds a License No. (Arkansas).

The current practice location address for White River Rural Health Center Inc is 1009 Highway 18, Lake City, AR and can be reached out via phone at 870-237-9928 and via fax at 870-237-1012.

Location: 1009 Highway 18, Lake City, AR, 72006-0497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861654006
Provider Name
White River Rural Health Center Inc
Credential
Provider Entity Type
Organization
Address
1009 Highway 18, Lake City, AR, 72006-0497
Phone Number
870-237-9928
Fax Number
870-237-1012
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171779631 05 AR
institution
Provider Business Practice Location Address Details
Address
1009 Highway 18
City
Lake City
State
Arkansas
Zip
72437-9622
Phone Number
870-237-9928
Fax Number
870-237-1012
person
Provider Business Mailing Address Details
Address
1009 Highway 18
City
Lake City
State
Arkansas
Zip
72437-9622
Phone Number
870-237-9928
Fax Number
870-237-1012
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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