NPIMap

Organization Active NPI

White Mountain Regional Medical Center

  • Critical Access Hospital
  • Springerville, AZ
National Provider Identifier
1699766592
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H2530 Issued in AZ
Legal business name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Practice address
118 S Mountain Ave
Springerville, AZ 85938-5104
Phone
(928) 333-4368
Fax
(928) 333-4369
NPI assigned
Oct 31, 2005
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wesley Babers
Title
Ceo
Phone
(928) 333-7178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H2530 AZ Primary

Addresses

Primary practice location

118 S Mountain Ave
Springerville, AZ 85938-5104

Mailing address

118 S Mountain Ave
Springerville, AZ 85938-5104
Phone (928) 333-4368

Other names 1

  • White Mountain Commu Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040123000416 AZ Part B Supplier - Clinic/Group Practice 1951203512 Receives reassigned benefits from 18 practitioners
Practice locations: Springerville, AZ
O20080923000361 AZ Part A Provider - Critical Access Hospital 1951203512 Receives reassigned benefits from 7 practitioners
Practice locations: Springerville, AZ
O20080923000495 AZ Part A Provider - Critical Access Hospital 1951203512 Practice locations: Springerville, AZ
O20180221003017 AZ Part A Provider - Rural Health Clinic 1951203512 Practice locations: Eagar, AZ

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1699766592. Details of each certification follow.

Hospital certification: CCN 031315

Legal name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Doing business as
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 26, 2008
Last certification
Jul 24, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1959 in AZ
Enrollment address
118 S Mountain Ave
Springerville, AZ 85938-5104
Main/Primary Hospital Location

Hospital certification: CCN 03Z315

Legal name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Doing business as
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Nov 27, 1959 in AZ
Enrollment address
118 S Mountain Ave
Springerville, AZ 85938-5104
Hospital Swing-Bed Unit

Rural health clinic certification: CCN 038509

Legal name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Doing business as
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 13, 2018
Last certification
Jan 4, 2021
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Nov 3, 1959 in AZ
Enrollment address
606 N Main St
Eagar, AZ 85925-9813
Related CCNs
031315

Hospital certification: CCN 030046

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Nov 1, 1995
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1969
Last certification
Jul 13, 1995
Beds
25
Ownership / control type
Private (not for profit)
Facility address
118 South Mountain Avenue
Springerville, AZ 85938

Hospital certification: CCN 030099

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Certification status
Terminated Other: provider status change, Aug 25, 2008
Provider type (POS)
Hospital – Short-term
Participating since
Dec 27, 1995
Last certification
Aug 26, 2008
Beds
20
Ownership / control type
Other
Facility address
118 South Mountain Ave
Springerville, AZ 85938

Care Compare: Hospital

Medicare Care Compare
Listed as
White Mountain Regional Medical CenterCCN 031315 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

120 S Mountain Ave
Springerville, AZ 85938

Interoperability endpoints

  • Direct secure messaging: ehr-direct@wmrmc.hin.us

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven M Hopkins Individual Corporate OfficerChief of Staff Dec 1, 2022
Corporate OfficerCheif of Staff Jan 1, 2022
Wesley Babers Individual Corporate DirectorCeo Sep 1, 2023
W-2 Managing EmployeeAd; Sep 1, 2023
5% Or Greater Indirect Ownership Interest Sep 1, 2023
Corporate OfficerCeo Sep 1, 2023
5% Or Greater Indirect Ownership Interest Dec 1, 2022
Corporate OfficerCeo Dec 1, 2022
W-2 Managing EmployeeAd; Dec 1, 2022
Operational/Managerial Control Dec 1, 2022
Ashley Jaramillo Individual Corporate OfficerCfo Sep 1, 2023
Corporate OfficerCfo Dec 1, 2022
W-2 Managing Employee Dec 1, 2022

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

Affiliated clinicians 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1699766592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MOUNTAIN AVE",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385104",
            "telephone_number": "928-333-4368",
            "fax_number": "928-333-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MOUNTAIN AVE",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385104",
            "telephone_number": "928-333-4368",
            "fax_number": "928-333-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BABERS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-333-7178"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AZ",
            "license": "H2530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Mountain Commu",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springerville, AZ

Sources for this page

Verify at the official NPI Registry.