WHITE RIVER HEALTH SYSTEMS NPI 1225132889

NPI Information

  • NPI: 1225132889
  • Provider Name: WHITE RIVER HEALTH SYSTEMS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: NEWPORT DIAGNOSTIC MEDICAL CLINIC
  • CLIA Number: 04D1060221
  • Address: 2200 MALCOLM AVE
    SUITE B
    NEWPORT, AR
    ZIP 72112
  • Phone: (870) 523-9270

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NPI Details

WHITE RIVER HEALTH SYSTEMS is a primary care clinic center in Newport, AR. WHITE RIVER HEALTH SYSTEMS NPI is 1225132889. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Diagnostic Medical Clinic.

The provider's business location address is:

2200 MALCOLM AVE
SUITE B
NEWPORT, AR
ZIP 72112-668
Phone: (870) 523-9270

The provider's authorized official is Lisa R Melton .
The authorized official title is Clinic Supervisor and has the following contact phone number (870) 262-6039.

The CLIA number assigned to this NPI record is 04D1060221 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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