NEWPORT DIAGNOSTIC MEDICAL CLINIC - NPI 1225132889

Q: What is White River Health Systems's NPI number?

The NPI number for White River Health Systems is 1225132889. It was assigned to this organization in the NPPES registry on September 12, 2006.

Q: What is White River Health Systems's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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About Newport Diagnostic Medical Clinic NPPES

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

NEWPORT DIAGNOSTIC MEDICAL CLINIC (NPI 1225132889) is a healthcare organization registered as a primary care in Newport, Arkansas and active in the NPI registry since September 2006. The organization lists Lisa R Melton, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1225132889

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameWHITE RIVER HEALTH SYSTEMS

Location Address2200 MALCOLM AVE, SUITE BNewport, AR 72112-3668

Mailing Address2200 Malcolm Ave, Suite BNewport, AR 72112-3668 · (870) 523-9270

Phone(870) 523-9270

Organization SubpartNo

Authorized OfficialLisa R MeltonClinic Supervisor · (870) 262-6039

Enumeration DateSeptember 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1225132889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

2200 MALCOLM AVE, Newport, AR 72112

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Other Names 1

Doing Business AsNewport Diagnostic Medical Clinic

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 Compliance 04D1060221

White River Health Family Care · Newport, AR

Expired · Feb 6, 2026

CLIA Number04D1060221

Laboratory TypeRural Health Clinic

Certificate Effective DateFebruary 7, 2024

Certificate Expiration DateFebruary 6, 2026

Laboratory DirectorChristie D. Wyatt

Laboratory Phone(870) 512-2500

Laboratory LocationWhite River Health Family Care2200 Malcolm Avenue Suite B, Newport, AR 72112

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

GUILFORD M. DUDLEY, M.D., P.A.

Internal Medicine (Adolescent Medicine)

2200 MALCOLM AVE, SUITE B
NEWPORT, AR 72112

Jackson County (870) 512-2522

DR. LORI WARD PHARM D

Pharmacist