White River Health System, Inc
Organization Active NPI Emergency Medicine Physician · Batesville, AR
NPI 1578872297 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1578872297
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- WHITE RIVER HEALTH SYSTEM, INC
- Practice address
- 1710 Harrison St
Batesville, AR 72501-7303 - Phone
- (702) 621-2408
- Fax
- (870) 262-6541
- NPI assigned
- Sep 29, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- WHITE RIVER HEALTH SYSTEM, INC
Authorized official
- Name
- Shawna Baxter
- Title
- Provider Enrollment
- Phone
- (870) 262-5545
Practitioners 22
-
Griffin A Arnold II, M.D.
-
William B Baker III, M.D.
-
Ronald Wayne Barnett Jr., M.D.
-
Jon Eric Carter, APRN
-
Lane Baxter Gay, MD
-
Tyler Griffin, MD
-
Justin King, NP-C
-
Christopher Don Melton, M.D.
-
Myra Colleen Moore, DNP, APRN, FNP-C
-
Jonathan D Moser, M.D.
-
David Tanner Oliver, APRN
-
William C Pittman, M.D.
-
Chad Sherwood, M.D.
-
Dana L Kinney, M.D.
-
Danyale A Wallace, M.D.
-
Surinder P S Sra, M.D.
-
Bradford Wayne Stewart, 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 |
|---|---|---|---|---|
| O20110111000718 | AR | Part B Supplier - Clinic/Group Practice | 0143134270 |
Receives reassigned benefits from 22 practitioners Practice locations: Batesville, AR |
National Provider Directory
- Part of
- White Riv HLTH Syst Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1710 Harrison St
Batesville, AR 72501-7303
Mailing address
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1240
Other names
- White River Emergency Physicians
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 · Emergency Medicine Physician 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.