MELBOURNE MEDICAL CLINIC
NPI 1477523348
Clinic/Center - Rural Health in Melbourne, AR

Active since January 24, 2006CLIA 04D0468315 · Certificate of Compliance
1526 E. MAIN ST., MELBOURNE, AR 72556(870) 368-4344(870) 368-3051 Get Directions Write a Review

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

About Melbourne Medical Clinic NPPES

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

MELBOURNE MEDICAL CLINIC (NPI 1477523348) is a healthcare organization registered as a rural health in Melbourne, Arkansas and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 12, 2028 and lists Shawna Baxter, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1477523348
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWHITE RIVER HEALTH SYSTEM, INC.
Location Address1526 E. MAIN ST.Melbourne, AR 72556
Mailing Address1710 Harrison StBatesville, AR 72501-7303 · (870) 262-5545 · Fax (870) 262-6571
Fax(870) 368-3051
Organization SubpartNo
Authorized OfficialShawna BaxterProvider Enrollment · (870) 262-5545
Enumeration DateJanuary 24, 2006
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1477523348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1526 E. MAIN ST., Melbourne, AR 72556

Other Names 1

Doing Business AsMelbourne Medical Clinic

Other Identifiers 1

Medicaid124189729AR

Accepted 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 Compliance 04D0468315

Melbourne Medical Clinic · Melbourne, AR
Active · expires Mar 12, 2028
CLIA Number04D0468315
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorMs. Christie Wyatt
Laboratory Phone(870) 368-4344
Laboratory LocationMelbourne Medical Clinic1526 East Main Street, Melbourne, AR 72556
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1477523348. It was assigned to this organization in the NPPES registry on January 24, 2006. The provider is doing business as Melbourne Medical Clinic.

Where is White River Health System, Inc. located?

White River Health System, Inc. is located at 1526 E. Main St., Melbourne, AR 72556. The listed phone number is (870) 368-4344.

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 Compliance (number 04D0468315) is associated with this NPI, valid through March 12, 2028. 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 5 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 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.