NPIMap

Organization Active NPI

White River Health System, Inc.

Doing business as Hardy Specialty Clinic

  • Mammography Clinic/Center
  • Cherokee Village, AR
National Provider Identifier
1245456789
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
WHITE RIVER HEALTH SYSTEM, INC.
Doing business as
Hardy Specialty Clinic
Practice address
195 Hospital Dr
Cherokee Village, AR 72529-7314
Phone
(870) 257-6060
NPI assigned
Apr 17, 2007
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Lisa R Melton
Title
Clinic Director
Phone
(870) 262-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X NU Primary

Addresses

Primary practice location

195 Hospital Dr
Cherokee Village, AR 72529-7314

Mailing address

195 Hospital Dr
Cherokee Village, AR 72529-7314
Phone (870) 257-6060

Other identifiers 1

IdentifierTypeStateIssuer
770095510OtherARBREASTCARE

Other names 1

  • HARDY SPECIALTY CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
WRMC Patient Care Clini48 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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1245456789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DR",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297314",
            "telephone_number": "870-257-6060",
            "fax_number": "870-257-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DR",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297314",
            "telephone_number": "870-257-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "870-262-6039"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTCARE",
            "identifier": "770095510",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDY SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherokee Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.