Organization Active NPI

White County Medical Center

  • Psychiatric Hospital Unit
  • Searcy, AR
National Provider Identifier
1083778302
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
AR4331 Issued in AR
Legal business name
WHITE COUNTY MEDICAL CENTER
Practice address
1200 S Main St
Searcy, AR 72143-7321
Phone
(501) 278-3100
Fax
(501) 380-1011
NPI assigned
Dec 21, 2006
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Mr. Stuart R Hill
Title
VP, Treasurer
Phone
(501) 380-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X AR4331 AR Primary

Addresses

Primary practice location

1200 S Main St
Searcy, AR 72143-7321

Mailing address

3214 E Race Ave
Searcy, AR 72143-4810
Phone (501) 268-6121

Other identifiers 2

IdentifierTypeStateIssuer
010014OtherARARK BC BS PROVIDER NUMBER
129186105MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000045 AR Part A Provider - Hospital 4880688654 1 other NPI on this enrollment
Practice locations: Searcy, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083778302. Details of each certification follow.

Hospital certification: CCN 04S014

Legal name
WHITE COUNTY MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
1200 S Main St
Searcy, AR 72143-7321
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 19

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Tess B Vanhoy MD19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janet Hines Individual Corporate Director Jan 1, 2024
Stuart R Hill Individual Corporate Officer Dec 1, 2005
White County Medical Center Organization, Searcy, AR Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2005 100%
Operational/Managerial Control Dec 1, 2005 100%
Ladonna Elizabeth Johnston Individual Corporate Officer Dec 1, 2005
Operational/Managerial Control Jul 30, 2024
Laura Gillenwater Individual Corporate Officer Jul 1, 2025

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unity Health Specialty Care CampusSearcy, AR, CCN 04T014 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2005
Advanced Care Hospital of White CountySearcy, AR, CCN 042011 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2007
Unity Health - NewportNewport, AR, CCN 041332 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Unity Health - NewportNewport, AR, CCN 04M332 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 1, 2015
Feb 1, 2015
Unity Health - JacksonvilleJacksonville, AR, CCN 040164 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 11, 2021
Unity Health HomecareNewport, AR, CCN 047052 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Feb 1, 2019
Unity Health Home HomecareSearcy, AR, CCN 047035 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Feb 1, 2019

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1083778302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121",
            "fax_number": "501-380-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437321",
            "telephone_number": "501-278-3100",
            "fax_number": "501-380-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "501-380-1004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AR",
            "license": "AR4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BC BS PROVIDER NUMBER",
            "identifier": "010014",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129186105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.