White River Health System, Inc.
Organization Active NPI Health Service Clinic/Center · Batesville, AR
NPI 1255878690 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1255878690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- WHITE RIVER HEALTH SYSTEM, INC.
- Practice address
- 3443 Harrison St
Batesville, AR 72501-8820 - Phone
- (870) 793-3196
- NPI assigned
- Jan 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Shawna Baxter
- Title
- Provider Enrollment
- Phone
- (870) 262-5545
Corporate family (same tax ID) 47
Practitioners 10
-
David E Boike, MD
-
John McKee, M.D.
-
Pamela Michelle Mize, APRN
-
Bhaskar Bhardwaj, M.D.
-
Qaisar M Khan, M.D.
-
Behzad Molavi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| White River Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 31, 1976 Jan 31, 1976 |
| Stone County Medical Center |
Hospital | Operational/Managerial Control | Jan 1, 2008 |
| Stone County Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest | Apr 1, 1999 |
| White River Medical Center |
Hospital | Operational/Managerial Control | Dec 21, 2007 |
| White River Medical Center Rehabilitation Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1976 |
| Midway Medical Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Sep 10, 2010 |
| Melbourne Medical Clinic |
Rural health clinic | Operational/Managerial Control | Oct 16, 2007 |
| Drasco Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Jul 12, 1996 |
| Cave City Medical Clinic |
Rural health clinic | Operational/Managerial Control | Nov 19, 1991 |
| Plesant Plains Medical Clinic |
Rural health clinic | Operational/Managerial Control | Jul 1, 2006 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2015 |
| Sugarloaf Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2021 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| White River Health Care Family |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
| White River Health Children'S Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170215000848 | AR | Part B Supplier - Clinic/Group Practice | 0143134270 |
Receives reassigned benefits from 10 practitioners Practice locations: Batesville, AR |
National Provider Directory
- Tax ID family
- White Riv HLTH Syst Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
3443 Harrison St
Batesville, AR 72501-8820
Mailing address
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 793-3196
Other names
- WHITE RIVER CARDIOLOGY CLINIC
Other providers in Batesville, AR
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
All providers in Batesville, AR · Health Service Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.