NPIMap

Organization Active NPI

White River Health System, Inc.

Doing business as White River Medical Group

  • Family Medicine Physician
  • Batesville, AR
National Provider Identifier
1881050334
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITE RIVER HEALTH SYSTEM, INC.
Doing business as
White River Medical Group
Practice address
3000 Jennings LN
Suite H
Batesville, AR 72501-7564
Phone
(870) 262-2952
Fax
(870) 262-3253
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Genice Hanson
Title
Director
Phone
(870) 262-2952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3000 Jennings LN
Suite H
Batesville, AR 72501-7564

Mailing address

PO Box 2197
Batesville, AR 72503-2197
Phone (870) 262-2952

Other names 1

  • WHITE RIVER MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1881050334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2197",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032197",
            "telephone_number": "870-262-2952",
            "fax_number": "870-262-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JENNINGS LN",
            "address_2": "SUITE H",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017564",
            "telephone_number": "870-262-2952",
            "fax_number": "870-262-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "GENICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-262-2952"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE RIVER MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.

Verify at the official NPI Registry.