WHITERIVER SERVICE UNIT (NPI# 1366851842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366851842 |
| Entity Type | Organization |
| Organization Name | WHITERIVER SERVICE UNIT |
| Practice Address |
200 West Hospital Drive Whiteriver AZ 85941 |
| Mailing Address |
Po Box 860 Whiteriver AZ 85941 |
| Practice Telephone | 9283384911 |
| Mailing Telephone | 9283384911 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2016-11-02 |
| NPI Deactivation Date | 06/11/2015 |
| NPI Reactivation Date | 2016-09-12 |
| Authorized Official Name | MELISSA LOUISE SAMS (DIETITIAN) |
| Authorized Official Telephone | 9283383664 |
| Authorized Official Credential | R.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 86008901 | OK | Hospitals |
| Street Address |
200 WEST HOSPITAL DRIVE |
| City | WHITERIVER |
| State | AZ |
| Zip Code | 85941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461002 | Edgar Alan Boone | Family Medicine | 200 West Hospital Drive, Whiteriver, AZ 85941-0860 | 2005-07-18 |
| 1447871751 | Dorlette Somtia | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2020-04-28 |
| 1003466236 | Zebedee Walpert | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2019-09-19 |
| 1790245587 | Austin Acree | Dietitian, Registered | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2019-03-20 |
| 1275012460 | Kameron Baker | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2018-08-09 |
| 1023532140 | Lia M Jasperse | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-07-31 |
| 1104364413 | Ji Young Kim | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-02-07 |
| 1811431612 | Emily Gaffney | Nurse Practitioner | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2016-12-13 |
| 1497205819 | Scott Peake | Nurse Practitioner | 200 West Hospital Drive, Box 860, Whiteriver, AZ 85941 | 2016-10-10 |
| 1174913487 | Andrea Shae Johnson | Nurse Practitioner | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816778 | Benjamin Robert Bishop | Pharmacist | 200 W Hospital Road, Whiteriver, AZ 85941 | 2019-11-25 |
| 1750922308 | Christal A Brewer | Specialist/Technologist | 1 N 1st Ave, Whiteriver, AZ 85941 | 2019-10-04 |
| 1154880862 | Ivan Atole IIi | Counselor | 302 W Ponderosa St, Whiteriver, AZ 85941 | 2019-03-13 |
| 1912456732 | Jamie Baha | Counselor | 302 West Ponderosa Street, White River, AZ 85941 | 2016-09-22 |
| 1891243382 | Donna Mauree Stevens | Counselor | 302 W. Ponderosa St., Whiteriver, AZ 85941 | 2016-09-14 |
| 1811445307 | Aura Josefina Ortiz | Counselor | 302 W Ponderosa Street, Whiteriver, AZ 85941 | 2016-09-14 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1528450855 | Carla Francis Turrentine | Social Worker | 249 West Ponderosa Street, Whiteriver, AZ 85941 | 2015-02-24 |
| 1477890390 | Muhammad Kanakri | Pharmacist | 200 West Whiteriver, Usphs Indian Hospital, Whitriver, AZ 85941 | 2013-01-11 |
| 1871870980 | Kathleen Wynn | Registered Nurse | 400 Apache Drive, Whiteriver, AZ 85941 | 2011-11-03 |
| Find all providers in zip 85941 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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|---|---|---|---|---|
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| 1841681012 | Hacienda Childrens Hospital Inc | Special Hospital | 610 W Jerome Avenue, Mesa, AZ 85210 | 2015-02-10 |
| 1316340953 | Doc Lipan Pllc | Special Hospital | 3811 E. Bell Rd, Ste 103, Phoenix, AZ 85032 | 2014-09-26 |
| 1467783118 | Changepoint Integrated Health | Special Hospital | 1920 Commerce Drive, Lakeside, AZ 85929-7004 | 2010-01-20 |
| 1124278882 | Western Regional Medical Center Inc. Hospital Pharmacy | Special Hospital | 12725 W Indian School Rd Ste C105, Avondale, AZ 85392-9523 | 2008-09-30 |
| 1952550071 | West Yavapai Guidance Clinic Inc | Special Hospital | 3347 N Windsong Drive, Prescott Valley, AZ 86314 | 2008-09-12 |
| 1104021088 | Ipc | Special Hospital | 10835 N 25th Ave Ste 115, Phoenix, AZ 85029-3452 | 2007-06-19 |
| 1639216393 | Remuda Ranch Center for Anorexia and Bulimia Inc | Special Hospital | 1245 Jack Burden Rd, Wickenburg, AZ 85390-3370 | 2007-01-31 |
| 1235226440 | Los Ninos Hospital Inc. | Special Hospital | 2303 E. Thomas Rd, Phoenix, AZ 85016 | 2006-10-07 |
| 1225140643 | Pasadera Behavioral Health Network, Inc. | Special Hospital | 2499 E. Ajo Way, Tucson, AZ 85713-6202 | 2006-08-31 |
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| City | WHITERIVER |
| Zip Code | 85941 |
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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.