| White River Health System, Inc. | |
|
1700 Harrison St Suite N Batesville AR 72501-7316 | |
| (870) 262-2200 | |
| (870) 262-2210 |
| Full Name | White River Health System, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Harrison St, Batesville, 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) 262-2200 | White River Health System, Inc. 1700 Harrison St Suite N Batesville AR 72501-7316 Ph: (870) 262-2200 |
| NPI Number | 1134298268 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20070228000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134298268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Melody Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689640641 PECOS PAC ID: 9032211461 Enrollment ID: I20070302000408 |
| Provider Name | Jared C Beavers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891012589 PECOS PAC ID: 5395987432 Enrollment ID: I20130820000281 |
| Provider Name | Amber M Morse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003133828 PECOS PAC ID: 0840413027 Enrollment ID: I20140515000111 |
| Provider Name | Gwenevere M Weatherspoon White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487920229 PECOS PAC ID: 3476861642 Enrollment ID: I20151008000199 |
| Provider Name | Zackary S Shearer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245573666 PECOS PAC ID: 1658690250 Enrollment ID: I20160616002129 |
| Provider Name | Tyler Blake Sandlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159780 PECOS PAC ID: 0749555340 Enrollment ID: I20171009000001 |
| Provider Name | Amanda K Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588028302 PECOS PAC ID: 3173811643 Enrollment ID: I20190711001818 |
| Provider Name | Katie Amber Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932737228 PECOS PAC ID: 6800225160 Enrollment ID: I20200407003852 |
| Provider Name | Kristin M Mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528599115 PECOS PAC ID: 9032487327 Enrollment ID: I20200811003691 |
| Provider Name | Brooke Nicole Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619752771 PECOS PAC ID: 1850748856 Enrollment ID: I20231113003628 |
| Provider Name | Mark Robert Kijek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790244614 PECOS PAC ID: 5395125652 Enrollment ID: I20240311003542 |
| 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 |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 Harrison St Ste D, Batesville, AR 72501 Phone: 870-347-2534 | |
Jordan Weaver, M.d.,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 Harrison St, Batesville, AR 72501 Phone: 870-793-2540 | |
Arkansas Family Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Harrison St, Suite D, Batesville, AR 72501 Phone: 870-793-4724 Fax: 870-793-4725 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2450 Batesville Blvd, Batesville, AR 72501 Phone: 870-347-2534 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 Harrison St, Batesville, AR 72501 Phone: 870-262-4444 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Harrison St, Batesville, AR 72501 Phone: 870-262-6171 Fax: 870-262-6088 | |
White River Health System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 Batesville Blvd, Batesville, AR 72501 Phone: 870-262-2800 Fax: 870-262-2815 |