| White River Health System Inc | |
|
301 S Main St Cave City AR 72521-9476 | |
| (870) 283-5353 | |
| (870) 283-5988 |
| Full Name | White River Health System Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 S Main St, Cave City, Arkansas |
| Authorized Official Name and Position | Shawna Baxter (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8702625545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Health System Inc 1710 Harrison St Batesville AR 72501-7303 Ph: (870) 262-5545 | White River Health System Inc 301 S Main St Cave City AR 72521-9476 Ph: (870) 283-5353 |
| NPI Number | 1568442127 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 04/29/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20060221000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568442127 | NPI | - | NPPES |
| 120683729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366449274 PECOS PAC ID: 2163410242 Enrollment ID: I20040505001675 |
| Provider Name | Kimberly Moser Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780651505 PECOS PAC ID: 2264413871 Enrollment ID: I20040528000774 |
| Provider Name | Birtha Virginia Hartness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003895541 PECOS PAC ID: 5294712873 Enrollment ID: I20040701000746 |
| Provider Name | Robert Baird Walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285622076 PECOS PAC ID: 0941254213 Enrollment ID: I20050309000673 |
| Provider Name | Ronald W Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467459370 PECOS PAC ID: 8729018866 Enrollment ID: I20050818000564 |
| Provider Name | Terry L Burns |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801908108 PECOS PAC ID: 0244206860 Enrollment ID: I20051014000583 |
| Provider Name | Sherry L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578656120 PECOS PAC ID: 8426064593 Enrollment ID: I20060313000720 |
| Provider Name | Melody Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689640641 PECOS PAC ID: 9032211461 Enrollment ID: I20070302000408 |
| Provider Name | Ellen L Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819682 PECOS PAC ID: 6406911296 Enrollment ID: I20090211000165 |
| Provider Name | Julia L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780670257 PECOS PAC ID: 3274668223 Enrollment ID: I20100326000640 |
| Provider Name | Andy M Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396731550 PECOS PAC ID: 9638204688 Enrollment ID: I20100520000350 |
| Provider Name | David Fielder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821084377 PECOS PAC ID: 6305883000 Enrollment ID: I20100614000883 |
| Provider Name | Suzanna C Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659695898 PECOS PAC ID: 1658404934 Enrollment ID: I20100806000673 |
| Provider Name | Robin Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083931331 PECOS PAC ID: 1951435999 Enrollment ID: I20100812001040 |
| Provider Name | Naomi M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083756803 PECOS PAC ID: 3870759590 Enrollment ID: I20120725000352 |
| Provider Name | Whitney Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477978054 PECOS PAC ID: 7315162278 Enrollment ID: I20140709000497 |
| Provider Name | Amanda Lois Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699187666 PECOS PAC ID: 7618291931 Enrollment ID: I20150115000495 |
| Provider Name | Erin M Sandefur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015422 PECOS PAC ID: 8628397916 Enrollment ID: I20150508000525 |
| Provider Name | Jennifer Blaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659766939 PECOS PAC ID: 6305158932 Enrollment ID: I20150709002495 |
| Provider Name | Lauren Bloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568809044 PECOS PAC ID: 4789802901 Enrollment ID: I20160802000115 |
| Provider Name | Bobbi Tosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104342799 PECOS PAC ID: 9931474988 Enrollment ID: I20171002002163 |
| Provider Name | Tyler Blake Sandlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159780 PECOS PAC ID: 0749555340 Enrollment ID: I20171009000001 |
| Provider Name | Olivia K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194232439 PECOS PAC ID: 6406117621 Enrollment ID: I20180305002046 |
| Provider Name | Pamela M Mize |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726512 PECOS PAC ID: 8022367887 Enrollment ID: I20180828001302 |
| Provider Name | Marlo Rae Hargrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275041923 PECOS PAC ID: 2264776533 Enrollment ID: I20181128001359 |
| Provider Name | Amanda B Dunavant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964447 PECOS PAC ID: 7214274190 Enrollment ID: I20190130002725 |
| Provider Name | Charlett Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396200978 PECOS PAC ID: 8426397183 Enrollment ID: I20190225002672 |
| Provider Name | Jonathan Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922539907 PECOS PAC ID: 9133497209 Enrollment ID: I20190313000680 |
| Provider Name | Jennifer Tosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295390136 PECOS PAC ID: 7113260431 Enrollment ID: I20190529002810 |
| Provider Name | Amanda K Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588028302 PECOS PAC ID: 3173811643 Enrollment ID: I20190711001818 |
| Provider Name | Kayla Krystyna Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073168837 PECOS PAC ID: 7416286711 Enrollment ID: I20190911003860 |
| Provider Name | James R Bridgeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396394060 PECOS PAC ID: 9739410473 Enrollment ID: I20191011000473 |
| Provider Name | Katie Amber Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932737228 PECOS PAC ID: 6800225160 Enrollment ID: I20200407003852 |
| Provider Name | Kerstie Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619504370 PECOS PAC ID: 5092145730 Enrollment ID: I20200421003116 |
| Provider Name | Sarah Lynn Wycough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457924086 PECOS PAC ID: 4284039991 Enrollment ID: I20210818002637 |
| Provider Name | Micah Joyce Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820998 PECOS PAC ID: 7416352430 Enrollment ID: I20210828000312 |
| Provider Name | Brandon Dale Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558035121 PECOS PAC ID: 2567868136 Enrollment ID: I20210907002156 |
| Provider Name | Melinda Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518614874 PECOS PAC ID: 7810382132 Enrollment ID: I20220323000004 |
| Provider Name | Mitchell L Keel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114480209 PECOS PAC ID: 3971837600 Enrollment ID: I20220627000055 |
| Provider Name | Jennifer Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316672116 PECOS PAC ID: 2668854266 Enrollment ID: I20220728003184 |
| Provider Name | Robin Lenora Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669979530 PECOS PAC ID: 6709261860 Enrollment ID: I20220912000016 |
| Provider Name | David Tanner Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427760842 PECOS PAC ID: 6709256076 Enrollment ID: I20221230002050 |
| Provider Name | Jeanne Renee' Markowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720867492 PECOS PAC ID: 0840646485 Enrollment ID: I20231102000482 |
| Provider Name | Brooke Nicole Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619752771 PECOS PAC ID: 1850748856 Enrollment ID: I20231113003628 |
| Provider Name | Sarah Deanne Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578372660 PECOS PAC ID: 2062941412 Enrollment ID: I20250129003181 |
| Provider Name | Kathryn E Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639963242 PECOS PAC ID: 3971022435 Enrollment ID: I20250528001601 |
Access Medical Clinic Arkansas Ltc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 Taylor Circle, Cave City, AR 72521 Phone: 870-376-2844 Fax: 870-895-2164 |