White River Health System, Inc
Organization Active NPI Psychiatric Hospital Unit · Batesville, AR
NPI 1295817260 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1295817260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 418 (AR)
- Legal business name
- WHITE RIVER HEALTH SYSTEM, INC
- Practice address
- 1710 Harrison St
Batesville, AR 72501-7303 - Phone
- (870) 262-1200
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Shawna Baxter
- Title
- Provider Enrollment
- Phone
- (870) 262-5545
Corporate family (same tax ID) 47
Related certifications (CCN) 16
Facilities with the same owner 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Hospital certification: CCN 04S119
- Legal name
- WHITE RIVER HEALTH SYSTEM, INC.
- Doing business as
- WHITE RIVER MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 1, 1999 in AR
- Enrollment address
- 1710 Harrison St.
White River Medical Center Psych
Batesville, AR 72501-2197 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| White River Health System, Inc. |
Operational/Managerial Control | Dec 21, 2007 | |
| Steve Case |
Corporate Officer |
Jan 13, 2009 | |
| Corporate Director |
Jan 13, 2009 | ||
| Philip Brissey |
Corporate Officer |
Feb 8, 2013 | |
| Corporate Director |
Feb 8, 2013 | ||
| Rick Elumbaugh |
Corporate Director |
Jan 1, 2022 | |
| Paula Terrell |
Corporate Director |
Jan 1, 2018 | |
| Robert McIntire |
Corporate Director |
Jan 1, 2022 | |
| Tina Wheelis |
Corporate Director |
Jan 1, 2022 | |
| Boris Alan Dover |
Corporate Officer |
Nov 9, 2007 | |
| Corporate Director |
Nov 9, 2007 | ||
| Jeff Showalter |
Corporate Officer |
Jan 1, 2013 | |
| Corporate Director |
Jan 1, 2013 | ||
| Gary Paxson |
W-2 Managing Employee |
Jan 1, 2016 | |
| Kevin S Rose |
Corporate Director |
Jan 1, 2018 | |
| Randy Cross |
Corporate Director |
Jan 1, 2018 | |
| Judy Belcher |
Corporate Director |
Jan 1, 2022 | |
| Heather Billingsley |
Other |
Mar 1, 2018 | |
| Robert Wright |
Corporate Director |
Jan 1, 2018 | |
| W-2 Managing Employee |
Jan 1, 2018 | ||
| William Tyler Fowlkes |
Corporate Director |
Jan 1, 2022 |
All facility ownership & control disclosures 16
| 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 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 |
|---|---|---|---|---|
| O20071119000600 | AR | Part a Provider - Hospital | 0143134270 | Practice locations: Batesville, AR |
National Provider Directory
- Tax ID family
- White Riv HLTH Syst Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 418 | AR | Yes |
Addresses
Primary practice location
1710 Harrison St
Batesville, AR 72501-7303
Mailing address
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200
Other names
- White River Medical Center
Other providers in Batesville, AR
- White River Health Anesthesia Service Group, Inc.
- White River Health System
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- 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 · Psychiatric Hospital Unit 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 16, 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.