WHITE RIVER HEALTH SYSTEM, INC (NPI# 1902862915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902862915 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM, INC |
| Other Organization Name | STONE COUNTY MEDICAL CENTER SWING BED |
| Practice Address |
2106 E. Main St. Mountain View AR 72560-6439 |
| Mailing Address |
Po Box 510 Mountain View AR 72560-0510 |
| Practice Telephone | 8702694361 |
| Practice Fax Number | 8702693093 |
| Mailing Telephone | 8706265056 |
| Mailing Fax Number | 8702626088 |
| 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 | Y |
| Parent Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 1Z310 | 01 |
| Other Name | Type Code |
|---|---|
| STONE COUNTY MEDICAL CENTER SWING BED | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896650 | White River Health System, Inc | Family Medicine | 35 Grasse St, Calico Rock, AR 72519 | 2015-11-20 |
| 1417398678 | White River Health System, Inc | Orthopaedic Surgery | 501 Virginia Dr, Suite C, Batesville, AR 72501-7331 | 2013-07-16 |
| 1710233010 | White River Health System, Inc | Nurse Anesthetist, Certified Registered | 2106 E Main St, Mountain View, AR 72560-6439 | 2012-07-24 |
| 1952697138 | White River Health System, Inc | Internal Medicine | 16 Hospital Cir, Suite C, Batesville, AR 72501-7343 | 2011-06-25 |
| 1578872297 | White River Health System, Inc | Emergency Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2010-09-29 |
| 1790842078 | White River Health System, Inc | Clinical Medical Laboratory | 1710 Harrison St, Batesville, AR 72501-7303 | 2007-01-03 |
| 1295817260 | White River Health System, Inc | Psychiatric Unit | 1710 Harrison St, Batesville, AR 72501-7303 | 2006-10-19 |
| 1306928379 | White River Health System, Inc | Rehabilitation Unit | 1710 Harrison St, Batesville, AR 72501-7303 | 2006-10-19 |
| 1760410229 | White River Health System, Inc | Anesthesiology | 1710 Harrison St, Batesville, AR 72501-7303 | 2006-06-30 |
| Street Address |
2106 E. MAIN ST. |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
|---|---|---|---|---|
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043357015 | Mercy St. Francis Hospital | Medicare Defined Swing Bed Unit | 100 W Us Highway 60, Mountain View, MO 65548 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395969 | City of Pocahontas Ar | Medicare Defined Swing Bed Unit | 2801 Medical Center Drive, Pocahontas, AR 72455-9436 | 2007-09-24 |
| 1992865513 | Ozark Health, Inc | Medicare Defined Swing Bed Unit | 2500 Hwy 65 South, Clinton, AR 72031 | 2006-12-12 |
| 1598842643 | Booneville Community Hospital, Inc | Medicare Defined Swing Bed Unit | 880 West Main, Booneville, AR 72927-0290 | 2006-11-01 |
| 1609811827 | Baptist Health | Medicare Defined Swing Bed Unit | 1800 Bypass Road, Heber Springs, AR 72543 | 2006-06-19 |
| 1881635993 | Izard County Medical Center, LLC | Medicare Defined Swing Bed Unit | 61 Grasse St, Calico Rock, AR 72519-0438 | 2006-06-09 |
| 1093336026 | Magnolia Regional Health System Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1538796651 | Eureka Springs Hospital Commission | Medicare Defined Swing Bed Unit | 24 Norris St, Eureka Springs, AR 72632-3541 | 2020-03-26 |
| 1407369390 | Siloam Springs Arkansas Hospital Company LLC | Medicare Defined Swing Bed Unit | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-11-14 |
| 1649724261 | Baptist Health | Medicare Defined Swing Bed Unit | 1001 Schneider Dr, Malvern, AR 72104-4811 | 2016-08-11 |
| 1235567504 | Mercy Hospital Booneville | Medicare Defined Swing Bed Unit | 880 W Main St, Booneville, AR 72927-3443 | 2013-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
Please comment or provide details below to improve the information on WHITE RIVER HEALTH SYSTEM, INC.
| 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.