White River Health Family Care | |
105 Case Commons Dr Mountain View AR 72560-5016 | |
(870) 269-4144 | |
Not Available |
Full Name | White River Health Family Care |
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Speciality | Clinic/Center |
Location | 105 Case Commons Dr, Mountain View, 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 |
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White River Health Family Care 1710 Harrison St Batesville AR 72501-7303 Ph: (870) 269-4144 | White River Health Family Care 105 Case Commons Dr Mountain View AR 72560-5016 Ph: (870) 269-4144 |
NPI Number | 1457396616 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 05/02/2024 |
Medicare PECOS PAC ID | 0143134270 |
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Medicare Enrollment ID | O20060830000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457396616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Michelle Bishop |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366449274 PECOS PAC ID: 2163410242 Enrollment ID: I20040505001675 |
Provider Name | Kimberly Moser Smith |
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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 | Nicholas Piediscalzi |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1174573026 PECOS PAC ID: 4082643077 Enrollment ID: I20050810000454 |
Provider Name | Sherry L Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578656120 PECOS PAC ID: 8426064593 Enrollment ID: I20060313000720 |
Provider Name | Lawrence Meyer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386633691 PECOS PAC ID: 3173530284 Enrollment ID: I20060321000180 |
Provider Name | Anandaraj Subramanium |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194767657 PECOS PAC ID: 0143224105 Enrollment ID: I20060905000404 |
Provider Name | Lisa Sherrill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942357298 PECOS PAC ID: 6901901461 Enrollment ID: I20070412000297 |
Provider Name | Amanda K Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720242274 PECOS PAC ID: 9032286810 Enrollment ID: I20080919000353 |
Provider Name | Jodi M Gibson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528296878 PECOS PAC ID: 0840336897 Enrollment ID: I20091006000439 |
Provider Name | Kristie D Branscum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821437302 PECOS PAC ID: 6103067293 Enrollment ID: I20130801000566 |
Provider Name | Yolonda E Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003015348 PECOS PAC ID: 7416171657 Enrollment ID: I20140610000917 |
Provider Name | Amanda Lois Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699187666 PECOS PAC ID: 7618291931 Enrollment ID: I20150115000495 |
Provider Name | Jennifer Blaney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659766939 PECOS PAC ID: 6305158932 Enrollment ID: I20150709002495 |
Provider Name | Lavertta K Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174907679 PECOS PAC ID: 9133424302 Enrollment ID: I20160225001752 |
Provider Name | Callie Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851758973 PECOS PAC ID: 0345539417 Enrollment ID: I20160512000496 |
Provider Name | Charles Pearrow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689936213 PECOS PAC ID: 0941594162 Enrollment ID: I20160811000954 |
Provider Name | Amanda D Johnson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629489133 PECOS PAC ID: 6507170255 Enrollment ID: I20160916000300 |
Provider Name | Jerrod R Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013302587 PECOS PAC ID: 7618283805 Enrollment ID: I20170221000594 |
Provider Name | Morgan Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245752070 PECOS PAC ID: 0547535395 Enrollment ID: I20171005000032 |
Provider Name | Olivia K Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194232439 PECOS PAC ID: 6406117621 Enrollment ID: I20180305002046 |
Provider Name | Jennifer Lambert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093215840 PECOS PAC ID: 8921361130 Enrollment ID: I20180420000607 |
Provider Name | Dana Kathryn Childress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518447960 PECOS PAC ID: 8628329042 Enrollment ID: I20180925001750 |
Provider Name | Marlo Rae Hargrave |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275041923 PECOS PAC ID: 2264776533 Enrollment ID: I20181128001359 |
Provider Name | Jennifer Tosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295390136 PECOS PAC ID: 7113260431 Enrollment ID: I20190529002810 |
Provider Name | James R Bridgeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396394060 PECOS PAC ID: 9739410473 Enrollment ID: I20191011000473 |
Provider Name | Jennifer Ann Huber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518301266 PECOS PAC ID: 2365774353 Enrollment ID: I20191023003478 |
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 | Melinda Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518614874 PECOS PAC ID: 7810382132 Enrollment ID: I20220323000004 |
Provider Name | Robin Lenora Franke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669979530 PECOS PAC ID: 6709261860 Enrollment ID: I20220912000016 |
Provider Name | Tracy Bonee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538896196 PECOS PAC ID: 7911377031 Enrollment ID: I20230106001682 |
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