North Complex Imaging Center

LBN: White River Health System Inc.
North Complex Imaging Center is an health care organization with primary practice located at 195 Hospital Dr Suite C, Cherokee Village AR 72529-7314. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. White River Health System Inc. can be contacted via phone (870) 257-6040, or through Poole, Ken via phone (870) 257-6066.

Contact Information

Primary practice address
195 Hospital Dr Suite C Cherokee Village AR 72529-7314
Phone: (870) 257-6040
Fax: (870) 257-7667
Website:
Map and Directions
Authorized official contact:
Name: Poole, Ken
Phone: (870) 257-6066

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1336431659
LBN Legal business name White River Health System Inc.
DBA Doing business as North Complex Imaging Center
Authorized official Poole, Ken
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2011
Last updated Jul 22nd, 2013 - about 13 years ago

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 1336431659 NPPES
Arkansas MEDICAID 196629710

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