White River Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHITE RIVER HOME HEALTH

Practice address

2100 East Washington Street Ste D
Idabel, OK 74745

Phone

(580) 286-2664

Fax

(580) 286-2929

NPI assigned

Sep 3, 2013

Last updated

Sep 3, 2013By 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

Christopher W Johnson

Title

Managing Member

Phone

(662) 322-0506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1619301116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747450299",
            "telephone_number": "580-286-2664",
            "fax_number": "580-286-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EAST WASHINGTON STREET STE D",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "74745",
            "telephone_number": "580-286-2664",
            "fax_number": "580-286-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "662-322-0506"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stormy Ray Walkup, D.O.
• Terry Eugene Wallace, CADC
• Jon Christopher Webb, M.D.
• Michael Curtis West Jr., MD
• Gina Lynn Whisenhunt, LBP
• White River Home Health LLC
• Catherine White, M.ED, LPC
• Krissika Faith Whittaker, LMSW
• Dennis Dale Whitten, MACJ, LADC, ICAADC
• William J Herron D.O P.C.

• Home Health Agency in Idabel, OK
• Providers in Idabel, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.