White River Health System, Inc.
Organization Active NPI Health Service Clinic/Center · Batesville, AR
NPI 1992079651 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1992079651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- WHITE RIVER HEALTH SYSTEM, INC.
- Practice address
- 16 Hospital Cir
Suite a
Batesville, AR 72501-7343 - Phone
- (870) 793-7519
- Fax
- (870) 793-8146
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Shawna Baxter
- Title
- Provider Enrollment
- Phone
- (870) 262-5545
Other NPIs on the same Medicare enrollment 15
Corporate family (same tax ID) 47
Related certifications (CCN) 13
Practitioners 20
-
Rachel Morgan Everett, APRN
-
Joseph Wayne Forney Sr., M.D.
-
Babar Ahmad Khan, M.D
-
Sania Hanif Khan, M.D.
-
Krystal Kay McMahan, APRN
-
Ellen Lavera Qualls, APN
-
Richard Vangrouw, M.D.
-
Sarah Lynn Wycough, APRN
-
Zaid Alirhayim, M.D.
-
Behzad Molavi, M.D.
-
Mihaela Savu, MD
-
Qaisar M Khan, M.D.
-
Matthew H Marks, MD
-
Shahla Gul Naoman, M.D
Affiliated clinicians 353
-
Dana C Abraham, M.D.
-
Tarek Abuelem, M.D.
-
Ahmed Salah Ahmed, M.D.
-
Ragda Ahmed, MD
-
John Akins, MD
-
Daisy V Alapat, MD
-
Audrey Rachel Alexander, APRN
-
Mohammed Alhajji, M.D
-
Crystal Allen, APRN
-
Jana Allen, CRNA
-
Julia L Allen, MD
-
John William Allgood Jr., M.D.
-
Amanda Michelle Anderson, APRN, FNP-C
-
Brandy N Anderson, APRN
-
Elizabeth Divina Anderson, CRNA, DNP
-
Caitlin Anne Andryka, PA-C
-
Jeffery Deoin Angel, M.D.
-
Griffin A Arnold II, M.D.
Medicare Care Compare: Hospital
- Listed as
- White River Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in 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
- Corporation · Non-profit
- Incorporated
- Jan 31, 1976 in AR
- Enrollment address
- 1710 Harrison St
White River Medical Center
Batesville, AR 72501-7303 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Crystal Johnson |
Corporate Director |
Jan 1, 2025 | |
| White River Health System, Inc. |
5% Or Greater Direct Ownership Interest | Jan 31, 1976 | |
| Operational/Managerial Control | Jan 31, 1976 | ||
| Steve Case |
Corporate Director |
Jan 1, 2025 | |
| Stacy Gunderman |
Corporate Director |
Jan 1, 2025 | |
| Maggie Williams |
Corporate Director |
Jan 1, 2025 | |
| Danny Bell |
Corporate Director |
Jan 1, 2025 | |
| Robert McIntire |
Corporate Director |
Jan 1, 2025 | |
| Elizabeth Christian |
Corporate Director |
Jan 1, 2025 | |
| Jason Taylor |
Corporate Director |
Jan 1, 2025 | |
| Tina Wheelis |
Corporate Director |
Jan 1, 2025 | |
| Jeff Showalter |
Corporate Director |
Jan 1, 2025 | |
| Shawna Baxter |
W-2 Managing Employee |
Aug 28, 2023 | |
| Kevin S Rose |
Corporate Director |
Jan 1, 2025 | |
| Randy Cross |
Corporate Director |
Jan 1, 2025 | |
| Kathy Lanier |
Corporate Director |
Jan 1, 2025 | |
| Lisa Lambert |
Corporate Director |
Jan 1, 2024 | |
| William Tyler Fowlkes |
Corporate Director |
Jan 1, 2025 | |
| Lance Lamberth |
Corporate Director |
Jan 1, 2025 |
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| White River Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 31, 1976 Jan 31, 1976 |
| Stone County Medical Center |
Hospital | Operational/Managerial Control | Jan 1, 2008 |
| Stone County Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest | Apr 1, 1999 |
| White River Medical Center |
Hospital | Operational/Managerial Control | Dec 21, 2007 |
| White River Medical Center Rehabilitation Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1976 |
| Midway Medical Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Sep 10, 2010 |
| Melbourne Medical Clinic |
Rural health clinic | Operational/Managerial Control | Oct 16, 2007 |
| Drasco Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Jul 12, 1996 |
| Cave City Medical Clinic |
Rural health clinic | Operational/Managerial Control | Nov 19, 1991 |
| Plesant Plains Medical Clinic |
Rural health clinic | Operational/Managerial Control | Jul 1, 2006 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2015 |
| Sugarloaf Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2021 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| White River Health Family Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| White River Health Care Family |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
| White River Health Children'S Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
| O20120326000612 | AR | Part B Supplier - Clinic/Group Practice | 0143134270 |
Receives reassigned benefits from 18 practitioners Practice locations: Batesville, AR; Mountain View, AR; Newport, AR |
National Provider Directory
- Tax ID family
- White Riv HLTH Syst Inc
Locations
16 Hospital Cir
Batesville, AR 72501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
16 Hospital Cir
Suite a
Batesville, AR 72501-7343
Mailing address
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 793-7519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191433002 | Medicaid | AR |
Other names
- WRMC CARDIOLOGY
Other providers in Batesville, AR
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health System, Inc.
- White River Health Systems
- White River Laboratories, Inc.
- White River Medical Center
- Addison White
All providers in Batesville, AR · Health Service Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.