NPIMap

White County Medical Center

Organization Active NPI Rehabilitation Hospital Unit · Searcy, AR

NPI 1629132949 · NPPES record last updated Mar 1, 2012

Key facts

NPI
1629132949
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
License
AR4331 (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
Organization subpart
No

Authorized official

Name
Mr. Stuart R Hill
Title
VP, Treasurer
Phone
(501) 380-1004

Owners & managing parties with NPI records 8

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

Owned or controlled facilities with NPI records 11

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

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

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

Facilities with the same owner 7

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

Practitioners 182

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 182

Affiliated clinicians 2

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

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Unity Health Specialty Care Campus CCN 04T014
Ownership
Non-profit
Certified
Oct 1, 1995

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2287884Unity Health Specialty Care
1200 South Main Street, Searcy, AR 72143		Certificate of waiverAug 17, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Hospital certification: CCN 04T014

Legal name
WHITE COUNTY MEDICAL CENTER
Doing business as
UNITY HEALTH SPECIALTY CARE CAMPUS
Organization structure
Corporation · Non-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

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 Director
Chairman		 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

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 Center
Searcy, 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 County
Searcy, AR · CCN 042011		 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2007
Unity Health - Newport
Newport, AR · CCN 041332		 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Unity Health - Newport
Newport, AR · CCN 04M332		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2015
Feb 1, 2015
Unity Health - Jacksonville
Jacksonville, AR · CCN 040164		 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 11, 2021
Unity Health Homecare
Newport, AR · CCN 047052		 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Feb 1, 2019
Unity Health Home Homecare
Searcy, AR · CCN 047035		 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Feb 1, 2019

Medicare enrollment records

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

National Provider Directory

Tax ID family
White County Medical Ce (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X AR4331 AR Yes

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 identifiers

IdentifierTypeStateIssuer
010014OtherARARK BCBS PROVIDER NUMBER
129186105MedicaidAR

Other names

  • White County Medical Center Rehab Unit Other name

Other providers in Searcy, AR

All providers in Searcy, AR · Rehabilitation Hospital Unit in Arkansas

Sources for this page

Verify at the official NPI Registry.