White River Health System

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

127293721 Issued in AR

Legal business name

WHITE RIVER HEALTH SYSTEM

Practice address

1699 Harrison St
Suite a
Batesville, AR 72501-7302

Phone

(870) 262-1271

Fax

(870) 262-6013

NPI assigned

Apr 10, 2007

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maxine S Hall

Title

Office Manager

Phone

(870) 262-1271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White River Medical Center Former legal business name

Tax ID family

White River Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White River Health System

  • Rehabilitation Hospital
  • Batesville, AR
  • NPI 1356565428
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13831/brand/7/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Rae Shackelford, OTD

  • Occupational Therapist
  • Batesville, AR
  • NPI 1841831245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1063535250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 HARRISON ST",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017302",
            "telephone_number": "870-262-1271",
            "fax_number": "870-262-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 HARRISON ST",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017302",
            "telephone_number": "870-262-1271",
            "fax_number": "870-262-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-262-1271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "AR",
            "license": "127293721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127293721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• White River Chiropractic Life Center, Inc.
• White River Dental Center
• White River Diagnostic Clinic
• White River Emergency Group, LLC
• White River Health Anesthesia Service Group, Inc.
• White River Health System
• White River Health System Inc (The Diagnostic Clinic at WRMC)
• White River Health System Inc (WRMC Medical Clinic)
• White River Health System, Inc (White River Medical Center)
• White River Health System, Inc (White River Medical Center)

• Rehabilitation Hospital in Batesville, AR
• Providers in Batesville, AR by specialty
• Rehabilitation Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.