WHITE RIVER HEALTH SYSTEM INC (NPI# 1275513780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275513780 |
Entity Type | Organization |
Organization Name | WHITE RIVER HEALTH SYSTEM INC |
Other Organization Name | WRMC MEDICAL CLINIC |
Practice Address |
1995 Harrison St Batesville AR 72501-7309 |
Practice Telephone | 8707932540 |
Practice Fax Number | 8706981262 |
Mailing Telephone | 8707932540 |
Mailing Fax Number | 8706981262 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2008-06-19 |
Authorized Official Name | LISA R MELTON (CLINIC DIRECTOR) |
Authorized Official Telephone | 8702626039 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 127963002 | 05 |
Other Name | Type Code |
---|---|
WRMC Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144742768 | White River Health System Inc | Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2017-07-14 |
1922387505 | White River Health System Inc | Orthopaedic Surgery | 2110 East Main, Mountain View, AR 72560 | 2011-08-12 |
1871609743 | White River Health System Inc | Family Medicine | 2200 Malcolm Ave, Suite B, Newport, AR 72112-3668 | 2006-08-22 |
1568442127 | White River Health System Inc | Clinic/Center | 301 S Main St, Cave City, AR 72521-9476 | 2006-01-19 |
Street Address |
1995 HARRISON ST |
City | BATESVILLE |
State | AR |
Zip Code | 72501-7309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760977524 | Machen Family Medical Clinic | Clinic/Center | 1995 Harrison St, Batesville, AR 72501-7309 | 2018-06-25 |
1962777680 | Heidi Leigh Machen | Nurse Practitioner | 1995 Harrison St, Batesville, AR 72501-7309 | 2012-03-13 |
1033437538 | Jordan Weaver, M.d.,pllc | Family Medicine | 1995 Harrison St, Batesville, AR 72501-7309 | 2010-05-07 |
1235337049 | Michael Jordan Weaver | Family Medicine | 1995 Harrison St, Batesville, AR 72501-7309 | 2007-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
Find all providers in zip 72501 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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Find all providers with the same taxonomy |
City | BATESVILLE |
Zip Code | 72501 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.