NEWARK MEDICAL CLINIC
NPI 1467519249
Clinic/Center - Rural Health in Newark, AR

Active since January 02, 2007CLIA 04D1092014 · Waiver

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Jan 16, 2023, Aug 15, 2022 (3 updates tracked since 2022).

About Newark Medical Clinic NPPES

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

NEWARK MEDICAL CLINIC (NPI 1467519249) is a healthcare organization registered as a rural health in Newark, Arkansas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Shawna Baxter, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1467519249
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWHITE RIVER HEALTH SYSTEM, INC.
Location Address501 VINE STNewark, AR 72562-9711
Mailing Address1710 Harrison StBatesville, AR 72501-7303 · (870) 799-3299
Organization SubpartNo
Authorized OfficialShawna BaxterProvider Enrollment · (870) 262-5545
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1467519249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
501 VINE ST, Newark, AR 72562

Other Names 2

Doing Business AsNewark Medical Clinic
Doing Business AsWhite River Health Family Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 04D1092014

White River Health Family Care · Newark, AR
Active · expires Jan 4, 2028
CLIA Number04D1092014
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorMs. Christie D. Wyatt
Laboratory Phone(870) 799-3299
Laboratory LocationWhite River Health Family Care501 Vine Street, Newark, AR 72562
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1467519249. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider is doing business as Newark Medical Clinic and White River Health Family Care.

Where is White River Health System, Inc. located?

White River Health System, Inc. is located at 501 Vine St, Newark, AR 72562. The listed phone number is (870) 799-3299.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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

Yes. A Certificate of Waiver (number 04D1092014) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White River Health System, Inc. was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.