WHITE RIVER HEALTH FAMILY MEDICINE
NPI 1104642354
Clinic/Center - Multi-Specialty in Cherokee Village, AR

Q: What is White River Health System, Inc.'s NPI number?

The NPI number for White River Health System, Inc. is 1104642354. It was assigned to this organization in the NPPES registry on December 3, 2024. The provider is doing business as White River Health Family Medicine.

Q: What is White River Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since December 03, 2024CLIA 04D0941101 · Waiver

197 HOSPITAL DR STE B, CHEROKEE VILLAGE, AR 72529(870) 257-5118(870) 257-6215 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About White River Health Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE RIVER HEALTH FAMILY MEDICINE (NPI 1104642354) is a healthcare organization registered as a multi-specialty in Cherokee Village, Arkansas and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists Shawna Baxter, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1104642354

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameWHITE RIVER HEALTH SYSTEM, INC.

Location Address197 HOSPITAL DR STE BCherokee Village, AR 72529-7315

Mailing Address1710 Harrison StBatesville, AR 72501-7303 · (870) 262-5545 · Fax (870) 262-6571

Phone(870) 257-5118

Fax(870) 257-6215

Organization SubpartNo

Authorized OfficialShawna BaxterProvider Enrollment Specialist · (870) 257-5118

Enumeration DateDecember 3, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1104642354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

197 HOSPITAL DR STE B, Cherokee Village, AR 72529

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Other Names 1

Doing Business AsWhite River Health Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0941101

White River Health Family Medicine · Cherokee Village, AR

Active · expires Dec 16, 2027

CLIA Number04D0941101

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 17, 2025

Certificate Expiration DateDecember 16, 2027

Laboratory DirectorAmanda Dunavant

Laboratory Phone(870) 257-5118

Laboratory LocationWhite River Health Family Medicine197 Hospital Drive Suite B, Cherokee Village, AR 72529

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA B COOPER APRN, FNP

Nurse Practitioner (Family)

197 HOSPITAL DR STE B
CHEROKEE VILLAGE, AR 72529

Sharp County (870) 257-5118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White River Health System, Inc.'s NPI number?

The NPI number for White River Health System, Inc. is 1104642354. It was assigned to this organization in the NPPES registry on December 3, 2024. The provider is doing business as White River Health Family Medicine.

Where is White River Health System, Inc. located?

White River Health System, Inc. is located at 197 Hospital Dr Ste B, Cherokee Village, AR 72529. The listed phone number is (870) 257-5118.

What is White River Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does White River Health System, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0941101) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does White River Health System, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list White River Health System, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for White River Health System, Inc. was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.