WHITE RIVER HEALTH SYSTEM, INC. (NPI# 1891101580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891101580 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Other Organization Name | TUCKERMAN MEDICAL CLINIC |
| Practice Address |
102 Elm St. Tuckerman AR 72473 |
| Practice Telephone | 8702626039 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | TAMMY GAVIN (COO) |
| Authorized Official Telephone | 8702621440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TUCKERMAN MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904005 | White River Health System, Inc. | Clinic/Center | 195 Hospital Dr Ste C, Cherokee Village, AR 72529-7330 | 2019-07-23 |
| 1306499074 | White River Health System, Inc. | Radiology | 525 Virginia Dr, Batesville, AR 72501-7331 | 2019-07-22 |
| 1780168948 | White River Health System, Inc. | Clinic/Center | 110 Village Pl, Fairfield Bay, AR 72088-2838 | 2018-09-24 |
| 1013451186 | White River Health System, Inc. | Family Medicine | 521 Wilburn Rd, Heber Springs, AR 72543-8714 | 2016-12-08 |
| 1063955326 | White River Health System, Inc. | Home Delivered Meals | 210 School Ave, Mountain View, AR 72560-9776 | 2016-11-18 |
| 1881050334 | White River Health System, Inc. | Family Medicine | 3000 Jennings Ln, Suite H, Batesville, AR 72501-7564 | 2016-01-13 |
| 1992125850 | White River Health System, Inc. | Otolaryngology | 501 Virginia Dr Ste A, Batesville, AR 72501-7317 | 2014-04-18 |
| 1467519249 | White River Health System, Inc. | Family Medicine | 501 Vine St, Newark, AR 72562-9711 | 2007-01-02 |
| 1457437568 | White River Health System, Inc. | Skilled Nursing Facility | 706 Oak Grove St, Mountain View, AR 72560-8601 | 2006-10-31 |
| 1558447599 | White River Health System, Inc. | Pain Medicine | 1700 Harrison St Ste T, Batesville, AR 72501-7315 | 2006-10-31 |
| Street Address |
102 ELM ST. |
| City | TUCKERMAN |
| State | AR |
| Zip Code | 72473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407917479 | Jackson County School District | Local Education Agency (LEA) | 300 Dowell Avenue, Tuckerman, AR 72473 | 2006-12-13 |
| 1366550626 | City Drug Store | Pharmacy | 101 103 Hwy 67 N, Tuckerman, AR 72473 | 2006-08-28 |
| 1538654538 | Megan A Bennett | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72473 | 2018-06-22 |
| 1275041923 | Marlo Rae Hargrave | Registered Nurse | 100 East Main Street, Tuckerman, AR 72473 | 2018-01-16 |
| 1689928558 | Kristinia Pratt | Registered Nurse | 102 Elm Street, Tuckerman, AR 72473 | 2012-10-31 |
| 1649543687 | Steven Wiliams | Case Manager/Care Coordinator | 102 Elm Street, Tuckerman, AR 72473 | 2012-02-22 |
| 1093098279 | Anne French | Registered Nurse | 102 Elm Street, Tuckerman, AR 72473 | 2011-09-23 |
| 1679722664 | City of Tuckerman Recorder Treasurer | Ambulance | 201 Main Street, Tuckerman, AR 72473-0779 | 2008-09-15 |
| 1942610837 | Monica Scherrell Lowery | Counselor | 7005 Gamble St, Tuckerman, AR 72473-9237 | 2014-05-01 |
| 1053896407 | Tuckerman Volunteer Ambulance Service | Ambulance | 201 W Main, Tuckerman, AR 72473-9362 | 2018-10-02 |
| Find all providers in zip 72473 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176020 | Neaville Internal Medicine Pllc | Clinic/Center | 3000 Jennings Ln Ste H, Batesville, AR 72501-7255 | 2020-08-25 |
| 1508488255 | Skinner Family Dentistry | Clinic/Center | 312 E Kiehl Ave, Sherwood, AR 72120-2922 | 2020-05-15 |
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1003450230 | Raising The Standards of Care LLC | Clinic/Center | 361 Southwest Dr Ste 771, Jonesboro, AR 72401-5854 | 2019-10-31 |
| 1497397897 | Way To Grow LLC | Clinic/Center | 307 Rockwell St, Hot Springs, AR 71913-6013 | 2019-10-17 |
| 1144876418 | Arkmed Healthcare Associates, Pllc | Clinic/Center | 3906 Lakeview Rd, North Little Rock, AR 72116-7305 | 2019-08-13 |
| 1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
| 1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
| 1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
| 1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
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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.