WHITE RIVER HEALTH SYSTEM INC
NPI 1790439826
Clinic/Center - Multi-Specialty in Newport, AR

Active since February 08, 2022CLIA 04D1060221 · Certificate of Compliance
2200 MALCOLM AVE STE A, NEWPORT, AR 72112(870) 512-2500(870) 512-2525 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About White River Health System Inc NPPES

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

WHITE RIVER HEALTH SYSTEM INC (NPI 1790439826), doing business as Newport Specialty Clinic, is a healthcare organization registered as a multi-specialty in Newport, Arkansas and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through February 6, 2028 and lists Shawna Baxter, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1790439826
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWHITE RIVER HEALTH SYSTEM INC
Location Address2200 MALCOLM AVE STE ANewport, AR 72112-3697
Mailing Address1710 Harrison StBatesville, AR 72501-7303 · (870) 262-5545 · Fax (870) 262-6966
Fax(870) 512-2525
Organization SubpartNo
Authorized OfficialShawna BaxterProvider Enrollment Specialist · (870) 262-5545
Enumeration DateFebruary 8, 2022
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1790439826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2200 MALCOLM AVE STE A, Newport, AR 72112

Other Names 1

Doing Business AsNewport Specialty Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White River Health System Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to White River Health System Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1982368361
302 CORRECTIONS DR
Newport, AR 72112
(870) 512-2291
✔ PECOS3.7 mi
Family Practice
NPI 1922539907
3443 HARRISON ST
Batesville, AR 72501
(870) 262-1510
✔ PECOS✔ Accepts Medicare23 mi
Rheumatology
NPI 1134614852
12 HOSPITAL CIR STE A
Batesville, AR 72501
(702) 621-5008
✔ PECOS✔ Accepts Medicare24 mi
Hematology/Oncology
NPI 1619973500
1710 HARRISON ST
Batesville, AR 72501
(870) 262-1750
✔ PECOS✔ Accepts Medicare24 mi

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 Compliance 04D1060221

White River Health Family Care · Newport, AR
Active · expires Feb 6, 2028
CLIA Number04D1060221
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
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: 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 1790439826. It was assigned to this organization in the NPPES registry on February 8, 2022. The provider is doing business as Newport Specialty Clinic.

Where is White River Health System Inc located?

White River Health System Inc is located at 2200 Malcolm Ave Ste A, Newport, AR 72112. The listed phone number is (870) 512-2500.

What is White River Health System Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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), 4 clinicians reassign their Medicare billing to White River Health System Inc, in Family Practice, Hematology/Oncology, Nurse Practitioner and Rheumatology. 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. 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 Compliance (number 04D1060221) is associated with this NPI, valid through February 6, 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 February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.