WRMC MEDICAL COMPLEX ER (WHITE RIVER HEALTH SYSTEM, INC.) NPI 1821423849

Emergency Medicine in Cherokee Village, AR

NPI 1821423849 Organization Emergency Medicine

About WRMC MEDICAL COMPLEX ER (WHITE RIVER HEALTH SYSTEM, INC.)

Wrmc Medical Complex Er (white River Health System, Inc.) is a provider established in Cherokee Village, Arkansas specializing in emergency medicine. The NPI number of Wrmc Medical Complex Er (white River Health System, Inc.) is 1821423849 and was assigned on September 2013. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Wrmc Medical Complex Er (white River Health System, Inc.) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wrmc Medical Complex Er. The authorized official of this NPI record is Tammy Gavin (Coo)

NPI

1821423849

Provider NameWRMC MEDICAL COMPLEX ER (WHITE RIVER HEALTH SYSTEM, INC.)
Provider Location Address197 HOSPITAL DR SUITE C CHEROKEE VILLAGE, AR 72529
Provider Mailing Address197 HOSPITAL DR SUITE C CHEROKEE VILLAGE, AR 72529
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWRMC MEDICAL COMPLEX ER
Other Name TypeDoing Business As (3)
Enumeration Date09-10-2013
Last Update Date09-10-2013


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

WRMC MEDICAL COMPLEX ER
197 HOSPITAL DR
SUITE C
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-6070
Fax: (870) 257-7667

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Mailing Address

WRMC MEDICAL COMPLEX ER
197 HOSPITAL DR
SUITE C
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-6070
Fax: (870) 257-7667



Authorized Official

Authorized Official Name TAMMY GAVIN
Authorized Official TitleCOO
Authorized Official Phone(870) 262-1450

Group Taxonomy


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

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114913936INTERNAL MEDICINE DIAGNOSTICS INC
Organization
Internal Medicine197 HOSPITAL DR SUITE B
CHEROKEE VILLAGE, AR 72529
(870) 257-5118
1508846015WHITE RIVER HEALTH SYSTEM, INC.
Organization
Clinic/Center (Primary Care)197 HOSPITAL DR
CHEROKEE VILLAGE, AR 72529
(870) 257-6070
1700845740 SURINDER P S SRA M.D.
Individual
Internal Medicine197 HOSPITAL DR SUITE B
CHEROKEE VLG, AR 72529
(870) 257-5118
1528022209MRS. JANET SUE TORBIT APN
Individual
Nurse Practitioner (Adult Health)197 HOSPITAL DR SUITE B
CHEROKEE VILLAGE, AR 72529
(870) 257-5118
1215118492WHITE RIVER HEALTH SYSTEM,INC.
Organization
Clinic/Center (Ambulatory Surgical)197 HOSPITAL DR SUITE D
CHEROKEE VILLAGE, AR 72529
(870) 257-6070

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.