Active NPI
White River Rural Health Center Inc
Doing business as Lake City Dental Clinic
- Dental Clinic/Center
- Lake City, AR
National Provider Identifier
1861654006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WHITE RIVER RURAL HEALTH CENTER INC
- Doing business as
- Lake City Dental Clinic
- Practice address
- 1009 Highway 18
Lake City, AR 72437-9622 - Phone
- (870) 237-9928
- Fax
- (870) 237-1012
- NPI assigned
- Jun 30, 2008
- Last updated
- Jul 7, 2009
- Organization subpart
- Yes
- Parent organization
- WHITE RIVER RURAL HEALTH CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven F Collier
- Title
- Ceo
- Phone
- (870) 347-2534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1009 Highway 18
Lake City, AR 72437-9622
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 237-9928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171779631 | Medicaid | AR |
Other names 1
- Lake City Dental Clinic
National Provider Directory
National Provider Directory- Tax ID family
- White River Rural Healt
- Part of
- White River Rural Healt
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
1009 Highway 18
Lake City, AR 72437
Phone (870) 237-9928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246924800000",
"number": "1861654006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-237-9928",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 HIGHWAY 18",
"city": "LAKE CITY",
"state": "AR",
"postal_code": "724379622",
"telephone_number": "870-237-9928",
"fax_number": "870-237-1012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE RIVER RURAL HEALTH CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITE RIVER RURAL HEALTH CENTER INC",
"enumeration_date": "2008-06-30",
"last_updated": "2009-07-07",
"status": "A",
"authorized_official_last_name": "COLLIER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-347-2534",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171779631",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake City Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.