WHITE RIVER HEALTH SYSTEM, INC. (NPI# 1417913419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417913419 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Other Organization Name | STONE COUNTY MEDICAL CENTER |
| Practice Address |
2106 E Main St Mountain View AR 72560-6439 |
| Mailing Address |
Po Box 510 Mountain View AR 72560-0510 |
| Practice Telephone | 8702625056 |
| Practice Fax Number | 8702626088 |
| Mailing Telephone | 8702694361 |
| Mailing Fax Number | 8702693093 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | MRS. TAMMY C GAVIN (COO) |
| Authorized Official Telephone | 8702621440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR4198 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 11310 | 01 |
| AR | 157571105 | 05 | |
| AR | BLUE CROSS FACILITY | 11310 | 01 |
| Other Name | Type Code |
|---|---|
| STONE COUNTY MEDICAL CENTER | 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 |
| 1891101580 | White River Health System, Inc. | Clinic/Center | 102 Elm St., Tuckerman, AR 72473 | 2014-07-02 |
| 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 |
| Street Address |
2106 E MAIN ST |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912560665 | Trent Deoin Martin | Pharmacist | 2106 E Main St, Mountain View, AR 72560-6439 | 2019-04-18 |
| 1265095996 | Amanda Langston | Pharmacist | 2106 E Main St, Mountain View, AR 72560-6439 | 2019-04-18 |
| 1710233010 | White River Health System, Inc | Nurse Anesthetist, Certified Registered | 2106 E Main St, Mountain View, AR 72560-6439 | 2012-07-24 |
| 1407170806 | Diana Shelden | Registered Nurse | 2106 E Main St, Mountain View, AR 72560-6439 | 2010-03-15 |
| 1235357534 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560 | 2007-04-23 |
| 1174573026 | Nicholas J Piediscalzi | Emergency Medicine | 2106 E Main St, Mountain View, AR 72560 | 2006-05-11 |
| 1083670095 | Barry D Pierce | Emergency Medicine | 2106 E Main St, Mountain View, AR 72560-0510 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| Find all providers in zip 72560 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1306003421 | St Francis Hospital | General Acute Care Hospital | 100 W Us Highway 60, Mountain View, MO 65548-8542 | 2008-05-16 |
| 1235357534 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560 | 2007-04-23 |
| 1427149814 | White River Health System, Inc. | General Acute Care Hospital | 2106 E. Main St., Mountain View, AR 72560-6439 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453192 | Chicot Memorial Medical Center | General Acute Care Hospital | 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136 | 2010-03-22 |
| 1063571107 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 and 82 South, Lake Village, AR 71653 | 2006-12-06 |
| 1265448468 | Cavhs | General Acute Care Hospital | 2307 Red Bud Cv, Benton, AR 72015-4779 | 2006-07-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1295767689 | Delta Memorial Hospital | General Acute Care Hospital | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-07 |
| 1497701973 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 & 82 South, Lake Village, AR 71653 | 2006-05-26 |
| 1457306326 | Mercy Hospital Berryville | General Acute Care Hospital | 214 Carter St, Berryville, AR 72616-4303 | 2006-05-22 |
| 1912978875 | Mercy Hospital Waldron | General Acute Care Hospital | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-01-30 |
| 1275504128 | Mercy Hospital Ozark | General Acute Care Hospital | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
| 1760453633 | Mercy Hospital Paris | General Acute Care Hospital | 500 E Academy St, Paris, AR 72855-4040 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
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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.