MIDWAY MEDICAL CLINIC
NPI 1568432144
Clinic/Center - Rural Health in Cherokee Village, AR
About Midway Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWAY MEDICAL CLINIC (NPI 1568432144) is a healthcare organization registered as a rural health in Cherokee Village, Arkansas and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Shawna Baxter, Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midway Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by October 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Midway Medical Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 45Cherokee Village, AR 72529
Cherokee Village, AR 72529
Melbourne, AR 72556
Source: 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 04D0673171
Midway Medical Clinic · Cherokee Village, 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 1568432144. It was assigned to this organization in the NPPES registry on January 25, 2006. The provider is doing business as Midway Medical Clinic.
Where is White River Health System, Inc. located?
White River Health System, Inc. is located at 195 Hospital Dr, Cherokee Village, AR 72529. The listed phone number is (870) 257-6060.
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.
When is White River Health System, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), White River Health System, Inc. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Part A, Arkansas, Rural Health Clinic). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through White River Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 5 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 (32), Family Practice (8) and Internal Medicine (2). Of these, 4 practice at this address and 5 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 04D0673171) is associated with this NPI, valid through May 16, 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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 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.
# Midway Medical Clinic · NPI 1568432144
Rural Health organization in Cherokee Village, Arkansas. Organization record, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1568432144 (Entity type: Organization)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** White River Health System, Inc.
- **Organization subpart:** No
- **Authorized official:** Shawna Baxter, PROVIDER ENROLLMENT
## Practice location
- **Address:** 195 HOSPITAL DR, Cherokee Village, AR 72529-7314
- **Phone:** (870) 257-6060 · **Fax:** (870) 257-7667
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Arkansas, Rural Health Clinic), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 45 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (8), Internal Medicine (2); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1568432144/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2024
- **Other identifiers:** Medicaid 120685729 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568432144) · Data from the CMS NPPES public registry.