NPIMap

Organization Active NPI

White River Health System, Inc.

Doing business as WRHS Senior Life and Wellness Program

  • Home Delivered Meals
  • Mountain View, AR
National Provider Identifier
1063955326
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
WHITE RIVER HEALTH SYSTEM, INC.
Doing business as
WRHS Senior Life and Wellness Program
Practice address
210 School Ave
Mountain View, AR 72560-9776
Phone
(870) 262-5056
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Claude Phil Hacker
Title
Cfo
Phone
(870) 262-1862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary

Addresses

Primary practice location

210 School Ave
Mountain View, AR 72560-9776

Mailing address

PO Box 510
Mountain View, AR 72560-0510

Other names 1

  • WRHS Senior Life and Wellness Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
White Riv HLTH System Inc48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1063955326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SCHOOL AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725609776",
            "telephone_number": "870-262-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "HACKER",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "PHIL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-262-1862"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRHS Senior Life and Wellness Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.