White River Health System, Inc.
NPI 1104642354 · Multi-Specialty Clinic/Center · Cherokee Village, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
White River Health System, Inc. is a Multi-Specialty Clinic/Center organization in Cherokee Village, AR (NPI 1104642354).
Provider details
- NPI number
- 1104642354
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawna Baxter, Provider Enrollment Specialist(870) 257-5118
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- White River Health Family Medicine
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is White River Health System, Inc.'s NPI number?
- White River Health System, Inc.'s National Provider Identifier (NPI) is 1104642354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White River Health System, Inc.?
- White River Health System, Inc. is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is White River Health System, Inc. located?
- White River Health System, Inc.'s practice location on file with NPPES is 197 Hospital Dr Ste B, Cherokee Village, AR 72529-7315.
- What is White River Health System, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for White River Health System, Inc. is (870) 257-5118.
- Does White River Health System, Inc. accept Medicare?
- White River Health System, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for White River Health System, Inc.?
- The authorized official listed on White River Health System, Inc.'s NPPES record is Shawna Baxter, Provider Enrollment Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White River Health System, Inc.'s NPI active?
- Yes — White River Health System, Inc.'s NPI (1104642354) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.