NPIMap

Organization Active NPI

White River Health System, Inc.

  • Hematology & Oncology Physician
  • Batesville, AR
National Provider Identifier
1760779607
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
WHITE RIVER HEALTH SYSTEM, INC.
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(870) 262-1750
Fax
(870) 262-1754
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Gary L Bebow
Title
Ceo
Phone
(870) 262-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1710 Harrison St
Batesville, AR 72501-7303

Mailing address

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1750

Other names 1

  • BATESVILLE ONCOLOGY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040216000496 AR Part A Provider - Hospital 0143134270 16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Batesville, AR; Mountain View, AR; Cherokee Village, AR
O20111012000326 AR Part B Supplier - Clinic/Group Practice 0143134270 Receives reassigned benefits from 4 practitioners
Practice locations: Melbourne, AR; Newport, AR; Mountain View, AR; Cherokee Village, AR; Heber Springs, AR; Batesville, AR

Hospital certification: CCN 040119

Legal name
WHITE RIVER HEALTH SYSTEM, INC.
Doing business as
WHITE RIVER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 30, 1976
Last certification
Apr 6, 2023
Beds
224
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1976 in AR
Enrollment address
1710 Harrison St
White River Medical Center
Batesville, AR 72501-7303
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

View all 13

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
White River Medical CenterCCN 040119
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
White Riv HLTH Syst Inc48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Crystal Johnson Individual Corporate DirectorBoard Member Jan 1, 2025
White River Health System, Inc. Organization, Batesville, AR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 31, 1976
Operational/Managerial Control Jan 31, 1976
Steve Case Individual Corporate DirectorBoard Member Jan 1, 2025
Stacy Gunderman Individual Corporate DirectorBoard Member Jan 1, 2025
Maggie Williams Individual Corporate DirectorExecutive Director Jan 1, 2025
Danny Bell Individual Corporate DirectorBoard Member Jan 1, 2025
Robert McIntire Individual Corporate DirectorTreasurer Jan 1, 2025
Elizabeth Christian Individual Corporate DirectorBoard Member Jan 1, 2025
Jason Taylor Individual Corporate DirectorBoard Member Jan 1, 2025
Tina Wheelis Individual Corporate DirectorBoard Member Jan 1, 2025
Jeff Showalter Individual Corporate DirectorSecretary Jan 1, 2025
Shawna Baxter Individual W-2 Managing EmployeeProvider Enrollment Specialist Aug 28, 2023
Kevin S Rose Individual Corporate DirectorBoard Member Jan 1, 2025
Randy Cross Individual Corporate DirectorChair Jan 1, 2025
Kathy Lanier Individual Corporate DirectorBoard Member Jan 1, 2025
Lisa Lambert Individual Corporate DirectorExecutive Director Jan 1, 2024
William Tyler Fowlkes Individual Corporate DirectorVice Chair Jan 1, 2025
Lance Lamberth Individual Corporate DirectorBoard Member Jan 1, 2025

All facility ownership & control disclosures 17

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

FacilityTypeRoleSince
White River Medical CenterBatesville, AR, CCN 040119 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 31, 1976
Jan 31, 1976
Stone County Medical CenterMountain View, AR, CCN 041310 Hospital Operational/Managerial Control Jan 1, 2008
Stone County Medical CenterMountain View, AR, CCN 04Z310 Hospital 5% Or Greater Direct Ownership Interest Apr 1, 1999
White River Medical CenterBatesville, AR, CCN 04S119 Hospital Operational/Managerial Control Dec 21, 2007
White River Medical Center Rehabilitation UnitBatesville, AR, CCN 04T119 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1976
Midway Medical ClinicCherokee Village, AR, CCN 043981 Rural health clinic Operational/Managerial Control (100%) Sep 10, 2010
Melbourne Medical ClinicMelbourne, AR, CCN 043997 Rural health clinic Operational/Managerial Control Oct 16, 2007
Drasco Medical ClinicDrasco, AR, CCN 043455 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 12, 1996
Cave City Medical ClinicCave City, AR, CCN 043982 Rural health clinic Operational/Managerial Control Nov 19, 1991
Plesant Plains Medical ClinicPleasant Plains, AR, CCN 043422 Rural health clinic Operational/Managerial Control Jul 1, 2006
White River Health Family CareMountain View, AR, CCN 043884 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2015
Sugarloaf Medical ClinicHeber Springs, AR, CCN 043914 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021
White River Health Family CareNewark, AR, CCN 048540 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2023
White River Health Family CareBatesville, AR, CCN 048539 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2023
White River Health Family CareSouthside, AR, CCN 048541 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2023
White River Health Care FamilyBatesville, AR, CCN 048542 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
White River Health Children'S ClinicBatesville, AR, CCN 048543 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023

Practitioners 4

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

Affiliated clinicians 353

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

View all 353

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1760779607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1750",
            "fax_number": "870-262-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1750",
            "fax_number": "870-262-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BEBOW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-262-1450"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATESVILLE ONCOLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.