White River Health System, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WHITE RIVER HEALTH SYSTEM, INC.

Doing business as

WRMC Medical Complex Cherokee Village Specialty Clinic

Practice address

195 Hospital Dr Ste C
Cherokee Village, AR 72529-7330

Phone

(870) 257-6040

Fax

(870) 257-6666

NPI assigned

Jul 23, 2019

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawna Baxter

Title

Provider Enrollment

Phone

(870) 262-5545

Specialties & licenses 1

Addresses

Other names 1

• WRMC Medical Complex Cherokee Village Specialty Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• White River Health System, Inc.

  dba White River Health Family Care

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1104275486

  O20170119000552

  Same enrollment
• White River Health System, Inc.

  dba WRMC Cancer Care Center

  • Multi-Specialty Clinic/Center
  • Batesville, AR
  • NPI 1306499074

  O20170119000552

  Same enrollment
• White River Health System, Inc.

  dba WRMC Breast Care Center

  • Multi-Specialty Clinic/Center
  • Batesville, AR
  • NPI 1649811027

  O20170119000552

  Same enrollment
• White River Health System, Inc.

  dba White River Medical Group

  • Family Medicine Physician
  • Batesville, AR
  • NPI 1881050334

  O20170119000552

  Same enrollment

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1457904005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-257-6040",
            "fax_number": "870-257-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DR STE C",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297330",
            "telephone_number": "870-257-6040",
            "fax_number": "870-257-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "870-262-5545"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRMC Medical Complex Cherokee Village Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WRMC Medical Complex Cherokee Village Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Methodist Behavioral Health System, Inc
• Urban Medical Clinic
• White River Health System Inc. (North Complex Imaging Center)
• White River Health System, Inc. (White River Health Family Medicine)
• White River Health System, Inc. (Hardy Specialty Clinic)
• White River Health System, Inc. (Hardy Medical Clinic)
• White River Health System, Inc. (Midway Medical Clinic)
• White River Health System, Inc. (WRMC Medical Complex ER)
• White River Health System,Inc. (North Complex Outpatient Surgery Center)
• Kathleen Ann Williams, LCSW

• Multi-Specialty Clinic/Center in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Multi-Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.