NPIMap

Organization Active NPI

White County Medical Center

  • Multi-Specialty Clinic/Center
  • Cabot, AR
National Provider Identifier
1043700404
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WHITE COUNTY MEDICAL CENTER
Practice address
1911 N 2ND St
Cabot, AR 72023-2209
Phone
(501) 843-5757
NPI assigned
May 11, 2018
Organization subpart
Yes
Parent organization
WHITE COUNTY MEDICAL CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Stuart Randall Hill
Title
VP/Treasurer
Phone
(501) 380-1004

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130510000018 AR Part B Supplier - Clinic/Group Practice 4880688654 Receives reassigned benefits from 176 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, AR; Searcy, AR; Pocahontas, AR; New Port, AR; Heber Springs, AR; Clinton, AR; Cabot, AR; Bradford, AR…

National Provider Directory

National Provider Directory
Part of
White County Medical Ce

Locations

1200 McLain St
Ste G
Newport, AR 72112
Phone (501) 279-9300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

1911 N 2ND St
Cabot, AR 72023-2209

Mailing address

1911 N 2ND St
Cabot, AR 72023-2209
Phone (501) 843-5757

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
229835002MedicaidAR

Other names 1

NPPES NPI Registry
  • Unity Health North Cabot Family Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2023.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1043700404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N 2ND ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232209",
            "telephone_number": "501-843-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N 2ND ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232209",
            "telephone_number": "501-843-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE COUNTY MEDICAL CENTER",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "VP/TREASURER",
        "authorized_official_telephone_number": "501-380-1004"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229835002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health North Cabot Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.