WHITE RIVER HEALTH SYSTEM, INC. (NPI# 1427149814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427149814 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Other Organization Name | STONE COUNTY MEDICAL CENTER ER CLINIC |
| 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 | 2006-09-28 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | MRS. TAMMY C GAVIN (COO) |
| Authorized Official Telephone | 8702621440 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals | ||
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 157571105 | 05 | |
| AR | BCBS | 57891 | 01 |
| AR | 112094002 | 05 |
| Other Name | Type Code |
|---|---|
| STONE COUNTY MEDICAL CENTER ER 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 |
| 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 |
|---|---|---|---|---|
| 1902862915 | White River Health System, Inc | Medicare Defined Swing Bed Unit | 2106 E. Main St., Mountain View, AR 72560-6439 | 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114294212 | Margaret Huang | Emergency Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2011-11-18 |
| 1851427892 | Ernesto L Carampatan | Emergency Medicine | 100 West Highway 60, Mountain View, MO 65548 | 2007-02-26 |
| 1053447532 | Griffeth Tully | Emergency Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1518249929 | Doc Network, Inc. | Emergency Medicine | 11705 E Creek Ln, Farmington, AR 72730-9564 | 2011-09-12 |
| 1376695098 | Angelique Thais Fontenette | Emergency Medicine | Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, AR 71603 | 2007-01-16 |
| 1972666147 | Ted Shields | Emergency Medicine | 1710 Mayfield Drive, Jonesboro, AR 72401 | 2006-12-19 |
| 1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
| 1023107935 | Khalid Rayaz | Emergency Medicine | 13212 Fairview Village Court, Little Rock, AR 72205-4417 | 2006-10-11 |
| 1538256680 | Gregory Hall | Emergency Medicine | 4301 W Markham St # 584, Little Rock, AR 72205-7101 | 2006-10-09 |
| 1982715058 | Nes Western Arkansas, Inc | Emergency Medicine | East Main & South 20th St, Van Buren, AR 72956 | 2006-08-31 |
| 1295754075 | Roderick Rene Boyd | Emergency Medicine | 460 W Oak St Ste 601, El Dorado, AR 71730-4538 | 2006-07-19 |
| 1528007838 | Martin John Carey | Emergency Medicine | 1 Briar Patch Ct, Little Rock, AR 72211-4425 | 2006-06-05 |
| 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.