Active NPI
White River Health System, Inc.
Doing business as WRMC Breast Care Center
- Multi-Specialty Clinic/Center
- Batesville, AR
National Provider Identifier
1649811027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- WHITE RIVER HEALTH SYSTEM, INC.
- Doing business as
- WRMC Breast Care Center
- Practice address
- 525 Virginia Dr
Batesville, AR 72501-7331 - Phone
- (870) 262-6200
- Fax
- (870) 262-6216
- NPI assigned
- Oct 7, 2019
- Last updated
- Oct 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Billingsley
- Title
- Contract Compliance Specialist
- Phone
- (870) 262-5545
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | ||
| Surgery Physician | 208600000X | NU | ||
| Surgical Oncology Physician | 2086X0206X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
525 Virginia Dr
Batesville, AR 72501-7331
Mailing address
16 Hospital Cir Ste a
Batesville, AR 72501-7343
Other names 1
- WRMC BREAST CARE CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170119000552 | AR | Part B Supplier - Clinic/Group Practice | 0143134270 |
Receives reassigned benefits from 24 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Southside, AR |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba White River Health Family Care
- Rural Health Clinic/Center
- Batesville, AR
- NPI 1104275486
O20170119000552
-
dba WRMC Cancer Care Center
- Multi-Specialty Clinic/Center
- Batesville, AR
- NPI 1306499074
O20170119000552
-
dba WRMC Medical Complex Cherokee Village Specialty Clinic
- Multi-Specialty Clinic/Center
- Cherokee Village, AR
- NPI 1457904005
O20170119000552
-
dba White River Medical Group
- Family Medicine Physician
- Batesville, AR
- NPI 1881050334
O20170119000552
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570406400000",
"number": "1649811027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HOSPITAL CIR STE A",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 VIRGINIA DR",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017331",
"telephone_number": "870-262-6200",
"fax_number": "870-262-6216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A",
"authorized_official_last_name": "BILLINGSLEY",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "CONTRACT COMPLIANCE SPECIALIST",
"authorized_official_telephone_number": "870-262-5545"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WRMC BREAST CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Batesville, AR
- White River Health System, Inc. (WRHS Specialty Group)
- White River Health System, Inc. (WRMC Cancer Care Center)
- White River Health System, Inc. (White River Health ENT Clinic)
- White River Health System, Inc. (White River Medical Center Recuperation Center)
- White River Health System, Inc. (White River Med Physicians Group/ Pain Management)
- White River Health System, Inc. (White River Medical Center)
- White River Health System, Inc. (White River Behavioral Health)
- White River Health System, Inc. (WRMC After Hours Clinic)
- White River Health System, Inc. (Batesville Oncology Clinic)
- White River Health System, Inc. (White River Hospitalist)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.