Active NPI
White River Rural Health Center Inc
- Federally Qualified Health Center (FQHC)
- Jonesboro, AR
National Provider Identifier
1770544215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WHITE RIVER RURAL HEALTH CENTER INC
- Practice address
- 2601 Southwest Square Circle
Jonesboro, AR 72401 - Phone
- (870) 802-3511
- Fax
- (870) 802-4068
- NPI assigned
- Mar 31, 2006
- 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
- Mr. David Rector
- Title
- Cfo
- Phone
- (870) 347-3313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
2601 Southwest Square Circle
Jonesboro, AR 72401
Mailing address
623 N 9TH Street
PO Box 497
Augusta, AR 72006
Phone (870) 347-3300
Other names 1
- Jonesboro Specialty Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770544215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 N 9TH STREET",
"address_2": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "72006",
"telephone_number": "870-347-3300",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SOUTHWEST SQUARE CIRCLE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-802-3511",
"fax_number": "870-802-4068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE RIVER RURAL HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RECTOR",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "870-347-3313",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jonesboro Specialty Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.