White River Rural Health Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WHITE RIVER RURAL HEALTH CENTER INC

Doing business as

White River Medical Services Two

Practice address

111 West Wilbur D Mills Ave
Kensett, AR 72082

Phone

(501) 742-5660

Fax

(501) 742-5900

NPI assigned

Mar 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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) 342-3313

Specialties & licenses 1

Addresses

Other names 1

• White River Medical Services Two Doing business as

Practitioners 1

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.

• Melvin Nance, M.D.

  • Family Medicine Physician
  • Newport, AR
  • NPI 1477509008
  NPD (past)

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": "1811958531",
    "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": "111 WEST WILBUR D MILLS AVE",
            "city": "KENSETT",
            "state": "AR",
            "postal_code": "72082",
            "telephone_number": "501-742-5660",
            "fax_number": "501-742-5900"
        }
    ],
    "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": "870-342-3313",
        "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": "White River Medical Services Two",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Speights
• Rachel Still, RN
• Jazmine Stocks
• Tiffany Watson
• Tanya Webb, LCSW
• Laura Beth Whited, APRN
• Destiny Marie Wooldridge

• Federally Qualified Health Center (FQHC) in Kensett, AR
• Providers in Kensett, AR by specialty
• Federally Qualified Health Center (FQHC) in Arkansas

• 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.

Verify at the official NPI Registry.