NPIMap

Organization Active NPI

White County Medical Center

Doing business as Unity Health Red River Family Medicine

  • Primary Care Clinic/Center
  • Clinton, AR
National Provider Identifier
1295285906
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WHITE COUNTY MEDICAL CENTER
Doing business as
Unity Health Red River Family Medicine
Practice address
175 Volunteer Pkwy
Clinton, AR 72031-8001
Phone
(501) 745-3033
Fax
(501) 745-8099
NPI assigned
Oct 5, 2016
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Laura Gillenwater, CPA
Title
Cfo/VP Treasurer
Phone
(501) 380-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

175 Volunteer Pkwy
Clinton, AR 72031-8001

Mailing address

PO Box 429
Clinton, AR 72031-0429
Phone (501) 745-3033

Other identifiers 1

IdentifierTypeStateIssuer
216806002MedicaidAR

Other names 1

  • Unity Health Red River Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130510000018 AR Part B Supplier - Clinic/Group Practice 4880688654 Receives reassigned benefits from 176 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, AR; Searcy, AR; Pocahontas, AR; New Port, AR; Heber Springs, AR; Clinton, AR; Cabot, AR; Bradford, AR…

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1295285906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720310429",
            "telephone_number": "501-745-3033",
            "fax_number": "501-745-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 VOLUNTEER PKWY",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720318001",
            "telephone_number": "501-745-3033",
            "fax_number": "501-745-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GILLENWATER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO/VP TREASURER",
        "authorized_official_telephone_number": "501-380-1010",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216806002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health Red River Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Health Red River Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.