NPIMap

Organization Active NPI

White River Health System, Inc.

Doing business as White River Reference Lab

  • Clinical Medical Laboratory
  • Batesville, AR
National Provider Identifier
1902141377
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WHITE RIVER HEALTH SYSTEM, INC.
Doing business as
White River Reference Lab
Practice address
1700 Harrison St
Suite H
Batesville, AR 72501-7316
Phone
(870) 262-1818
Fax
(870) 262-3191
NPI assigned
Dec 11, 2012
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Mr. Gary L Bebow
Title
Ceo
Phone
(870) 262-6091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1700 Harrison St
Suite H
Batesville, AR 72501-7316

Mailing address

PO Box 3047
Batesville, AR 72503-3047
Phone (870) 262-1818

Other names 1

  • WHITE RIVER REFERENCE LAB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Plains Medical48 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

Locations

1700 Harrison St
Ste H
Batesville, AR 72501
Phone (870) 262-1818

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1902141377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725033047",
            "telephone_number": "870-262-1818",
            "fax_number": "870-262-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST",
            "address_2": "SUITE H",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017316",
            "telephone_number": "870-262-1818",
            "fax_number": "870-262-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "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": "870-262-6091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE RIVER REFERENCE LAB",
            "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 Dec 11, 2012; 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.