WHITE RIVER HEALTH SYSTEM, INC. (NPI# 1457396616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457396616 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Other Organization Name | STONE COUNTY PRIMARY CARE CLINIC |
| Practice Address |
2202 E Main St Mountain View AR 72560-6402 |
| Practice Telephone | 8702696495 |
| Practice Fax Number | 8702696497 |
| Mailing Telephone | (870) 269-6405 |
| Mailing Fax Number | 8702696407 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-07-25 |
| Authorized Official Name | LISA RENAE MELTON (CLINIC SUPERVISOR) |
| Authorized Official Telephone | 8702626039 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stone County Primary Care 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 |
2202 E MAIN ST |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851758973 | Callie R Taylor | Nurse Practitioner | 2202 E Main St, Mountain View, AR 72560-6402 | 2016-01-20 |
| 1528296878 | Jodi Marie Gibson | Nurse Practitioner | 2202 E Main St, Mountain View, AR 72560-6402 | 2009-06-25 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1427595271 | Evanston Hospital Corporation | Clinic/Center | 531 Parkway Drive, Mountain View, WY 82939-0208 | 2017-01-31 |
| 1063850584 | Mercy St Francis Hospital | Clinic/Center | 104 East Highway 60, Mountain View, MO 65548 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| 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.