NPIMap

Organization Active NPI

White County Medical Center

Doing business as Unity Health Bradford Medical Clinic

  • Primary Care Clinic/Center
  • Bradford, AR
National Provider Identifier
1386015097
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AR4389 Issued in AR
Legal business name
WHITE COUNTY MEDICAL CENTER
Doing business as
Unity Health Bradford Medical Clinic
Practice address
504 W Main St Ste a
Bradford, AR 72020-9151
Phone
(501) 344-8800
Fax
(501) 344-8805
NPI assigned
Oct 8, 2015
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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
Primary Care Clinic/Center 261QP2300X AR4389 AR Primary

Addresses

Primary practice location

504 W Main St Ste a
Bradford, AR 72020-9151

Mailing address

504 W Main St Ste a
Bradford, AR 72020-9151
Phone (501) 344-8800

Other identifiers 1

IdentifierTypeStateIssuer
213300004MedicaidAR

Other names 1

  • Unity Health Bradford Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051201000281 AR Part A Provider - Hospital 4880688654 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Searcy, AR; Newport, AR; Heber Springs, AR; Bradford, AR; Beebe, AR
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…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386015097. Details of each certification follow.

Hospital certification: CCN 040014

Legal name
WHITE COUNTY MEDICAL CENTER
Doing business as
UNITY HEALTH - WHITE COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 16, 2023
Beds
571
Ownership / control type
Private (not for profit)
Most recent change of ownership
Nov 1, 2005 (4 total)
Organization structure
CorporationNon-profit
Enrollment address
3214 E Race Ave
Searcy, AR 72143-4810
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 22

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

View all 22

Care Compare: Hospital

Medicare Care Compare
Listed as
White County Medical CenterCCN 040014 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2105454Unity Health Bradford Medical Clinic504 West Main Stuite a, Bradford, AR 72020Certificate of waiverNov 23, 2027

National Provider Directory

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

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 9

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

NameRoleSinceShare
Raymond W Montgomery II Individual Other Jun 1, 2020
Janet Hines Individual OtherChairman Jun 1, 2020
Nathan Rutledge Individual Other Jun 1, 2020
Scott Rose Individual Other Jun 1, 2020
Ladonna Elizabeth Johnston Individual Corporate OfficerPresident/Ceo Jan 17, 2024 100%
W-2 Managing EmployeePresident/Ceo Jan 17, 2024 100%
Wesley Roberts Individual Other Dec 1, 2023
David L Hatfield Individual OtherBoard Member Jun 1, 2024
Laura Gillenwater Individual Corporate OfficerVP Treasurer Jun 25, 2025
Leah Miller Individual OtherVice Chairman Jun 1, 2020

Practitioners & affiliated clinicians

Practitioners 14

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 14

Affiliated clinicians 311

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 311

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1386015097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W MAIN ST STE A",
            "city": "BRADFORD",
            "state": "AR",
            "postal_code": "720209151",
            "telephone_number": "501-344-8800",
            "fax_number": "501-344-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W MAIN ST STE A",
            "city": "BRADFORD",
            "state": "AR",
            "postal_code": "720209151",
            "telephone_number": "501-344-8800",
            "fax_number": "501-344-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE COUNTY MEDICAL CENTER",
        "enumeration_date": "2015-10-08",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "AR4389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213300004",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health Bradford Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Health Bradford Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, AR

Sources for this page

Verify at the official NPI Registry.