NPIMap

Organization Active NPI

White County Medical Center

  • Rehabilitation Hospital Unit
  • Searcy, AR
National Provider Identifier
1629132949
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
AR4331 Issued in AR
Legal business name
WHITE COUNTY MEDICAL CENTER
Practice address
1200 S Main St
Searcy, AR 72143-7321
Phone
(501) 278-3100
Fax
(501) 380-1011
NPI assigned
Dec 21, 2006
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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
Rehabilitation Hospital Unit 273Y00000X AR4331 AR Primary

Addresses

Primary practice location

1200 S Main St
Searcy, AR 72143-7321

Mailing address

3214 E Race Ave
Searcy, AR 72143-4810
Phone (501) 268-6121

Other names 1

  • White County Medical Center Rehab Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061010000606 AR Part A Provider - Hospital 4880688654 Practice locations: Searcy, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629132949. Details of each certification follow.

Hospital certification: CCN 04T014

Legal name
WHITE COUNTY MEDICAL CENTER
Doing business as
UNITY HEALTH SPECIALTY CARE CAMPUS
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1994 in AR
Enrollment address
1200 S Main St
Searcy, AR 72143-7321
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

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

View all 19

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Unity Health Specialty Care CampusCCN 04T014 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1995

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
04D2287884Unity Health Specialty Care1200 South Main Street, Searcy, AR 72143Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Solutions19 organizations share this tax ID, including this one

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 8

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 Corporate Director Nov 1, 2005
W-2 Managing Employee Nov 1, 2005
Janet Hines Individual Corporate Director Apr 1, 2017
Stuart R Hill Individual Corporate Director Nov 1, 2005
Mitchell Hamilton Individual Corporate DirectorChairman Jan 1, 2007
Keith Alan Feather Individual Corporate Director Nov 1, 2005
White County Medical Center Organization, Searcy, AR Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2005 100%
Ladonna Elizabeth Johnston Individual Corporate Director Nov 1, 2005
Leah Miller Individual Corporate Director Sep 1, 2013

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
White County Medical CenterSearcy, AR, CCN 04S014 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2005
Dec 1, 2005
Advanced Care Hospital of White CountySearcy, AR, CCN 042011 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2007
Unity Health - NewportNewport, AR, CCN 041332 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Unity Health - NewportNewport, AR, CCN 04M332 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2015
Feb 1, 2015
Unity Health - JacksonvilleJacksonville, AR, CCN 040164 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 11, 2021
Unity Health HomecareNewport, AR, CCN 047052 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Feb 1, 2019
Unity Health Home HomecareSearcy, AR, CCN 047035 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Feb 1, 2019

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1629132949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121",
            "fax_number": "501-380-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437321",
            "telephone_number": "501-278-3100",
            "fax_number": "501-380-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-03-01",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AR",
            "license": "AR4331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White County Medical Center Rehab Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.