NPIMap

East Arkansas Family Health Center, Inc

A Medicare group practice based in West Memphis, AR: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 1052390390), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052390390The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AR
Enrollments
19
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 9 places

Enrollment records 19

Enrollment IDStateProvider typeNPI
O20040719001289 AR Part B Supplier - Clinic/Group Practice 1871599613
O20080614000123 AR Part B Supplier - Clinic/Group Practice 1922139062
O20101006000058 AR Part B Supplier - Clinic/Group Practice 1659506095
O20100611000825 AR Part A Provider - Federally Qualified Health Center (FQHC) 1578889622
O20090409000565 AR Part A Provider - Federally Qualified Health Center (FQHC) 1922139062
O20090923000307 AR Part A Provider - Federally Qualified Health Center (FQHC) 1871599613
O20090729000855 AR Part A Provider - Federally Qualified Health Center (FQHC) 1659506095
O20110503000659 AR Part B Supplier - Clinic/Group Practice 1578889622
O20230927000049 AR Part A Provider - Federally Qualified Health Center (FQHC) 1033997275
O20230628001512 AR Part A Provider - Federally Qualified Health Center (FQHC) 1518650027
O20260407000857 AR Part A Provider - Federally Qualified Health Center (FQHC) 1124987458
O20171127000226 AR Part A Provider - Federally Qualified Health Center (FQHC) 1508379249
O20170921000623 AR Part B Supplier - Clinic/Group Practice 1427572213
O20171208002213 AR Part B Supplier - Clinic/Group Practice 1508379249
O20130114000014 AR Part A Provider - Federally Qualified Health Center (FQHC) 1518218668
O20170818000248 AR Part A Provider - Federally Qualified Health Center (FQHC) 1427572213
O20160114002062 AR Part B Supplier - Clinic/Group Practice 1912370198
O20160114002453 AR Part A Provider - Federally Qualified Health Center (FQHC) 1912370198
O20180820003254 AR Part A Provider - Federally Qualified Health Center (FQHC) 1437638038

NPIs in this group 13

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 36

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (30).

Sources for this page