Active NPI
Arcare
Doing business as ARcare96
- Federally Qualified Health Center (FQHC)
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ARCARE
- Doing business as
- ARcare96
- Practice address
- 1792 E Joyce Blvd
Fayetteville, AR 72703-5253 - Phone
- (501) 500-5001
- Fax
- (501) 500-5001
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Collier, MD
- Title
- Ceo
- Phone
- (870) 394-3023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
1792 E Joyce Blvd
Fayetteville, AR 72703-5253
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other names 1
- ARcare96
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240711003434 | AR | Part A Provider - Federally Qualified Health Center (FQHC) | 2567370620 | Practice locations: Fayetteville, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063260669. Details of each certification follow.
Federally qualified health center certification: CCN 041068
- Legal name
- ARCARE
- Doing business as
- ARCARE96
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 1, 2024
- Last certification
- Jul 1, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Feb 6, 1986 in AR
- Enrollment address
- 1792 E Joyce Blvd
Fayetteville, AR 72703
National Provider Directory
National Provider Directory- Tax ID family
- White River Rural Healt
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Mountain Home, AR
- NPI 1023981834
-
- Federally Qualified Health Center (FQHC)
- Charlotte, AR
- NPI 1083580047
-
- Community/Retail Pharmacy
- Jonesboro, AR
- NPI 1124802582
-
- Community/Retail Pharmacy
- Brookland, AR
- NPI 1124954417
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Floyd H Waymire | Corporate Director | Feb 24, 1998 | |
| Christian L Gibson | Corporate Officer | Jan 22, 2019 | |
| Shawn M Studdard | Operational/Managerial Control | Apr 26, 2024 | |
| Marsha a White | Corporate Director | Jan 31, 2012 | |
| Betty K Thompson | Corporate Director | Jan 17, 2022 | |
| Rickie Lee Swinney | Corporate Director | Jan 17, 2022 | |
| Jerry Jones | Corporate Director | Jan 23, 2024 | |
| Gary Browning | Corporate Director | Jan 24, 2023 | |
| Doyle W Fowler | Corporate Director | Jan 22, 2008 | |
| Broderick Eaton | Corporate Director | Jan 1, 2024 | |
| Martha J Ray | Corporate Director | Apr 25, 1989 | |
| Ella M Watson | Corporate Director | Jan 29, 2013 | |
| Clint Shackelford | Corporate Officer | Jan 1, 2022 | |
| Joey D Miller | Corporate Officer | Jan 22, 2019 | |
| Janet L Wright | Corporate Director | Jan 29, 2013 | |
| Talmage J Whitehead | Corporate Officer | Sep 1, 2006 | |
| George D Morris | Corporate Director | Dec 11, 2018 | |
| Patricia a Holloway | Corporate Director | Apr 25, 1989 | |
| Janice Beard | Corporate Director | Apr 25, 2023 | |
| Steven F Collier | Corporate Officer | Jun 1, 2002 | |
| Ellen H Russell | Corporate Director | Jan 22, 2019 | |
| Jeremy R Beehn | Corporate Officer | Jan 3, 2022 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 35
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arcare 25 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 22 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 93 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Kentuckycare21 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 24 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 26 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 29 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 41 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 100 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 46 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 47 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 42 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 48 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 23 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 45 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 88 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 89 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 59 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 87 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Mississippicare 113 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare64 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare120 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 121 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare131 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Mississippicare129 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare136 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare135 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare124 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare69 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare192 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare138 | Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2002 |
| Arcare141 | Federally qualified health center | Operational/Managerial Control | Feb 28, 2022 |
| Arcare142 | Federally qualified health center | Operational/Managerial Control | Apr 18, 2022 |
| Mississippicare127 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare74 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1063260669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035253",
"telephone_number": "501-500-5001",
"fax_number": "501-500-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "COLLIER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-394-3023",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ARcare96",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, AR
- Apex Therapy LLC
- April M Bachrodt LLC
- Aprn Medical LLC
- Ar Periodontal & Implant Assoc
- Jennifer Georgina Araujo, MHPP
- Arcare (ARcare206)
- Archway Therapy Services
- Arkansas CVS Pharmacy LLC (CVS Pharmacy #16802)
- Arkansas CVS Pharmacy, L.L.C. (CVS Pharmacy # 10409)
- Arkansas Em-I Byrne Medical Services P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.