NEWARK MEDICAL CLINIC
NPI 1467519249
Clinic/Center - Rural Health in Newark, AR
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
Specialties & Licenses 2
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Newark Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Newark Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 39Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ARFrequently 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.
Is White River Health System, Inc. enrolled in Medicare?
Yes. White River Health System, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through White River Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 4 Medicare specialties reassign their Medicare billing to White River Health System, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (30), Family Practice (7) and General Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Newark Medical Clinic · NPI 1467519249
Rural Health organization in Newark, Arkansas. Organization record, active in the CMS NPPES registry since January 2, 2007.
## Identity
- **NPI:** 1467519249 (Entity type: Organization)
- **Enumerated:** January 2, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** White River Health System, Inc.
- **Also known as:** White River Health Family Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shawna Baxter, PROVIDER ENROLLMENT
## Practice location
- **Address:** 501 VINE ST, Newark, AR 72562-9711
- **Phone:** (870) 799-3299
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (30), Family Practice (7), General Practice (1); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1467519249/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467519249) · Data from the CMS NPPES public registry.