Active NPI
Arcare
Doing business as ARcare135
- Federally Qualified Health Center (FQHC)
- Pea Ridge, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ARCARE
- Doing business as
- ARcare135
- Practice address
- 145 N Curtis Ave
Pea Ridge, AR 72751-3407 - Phone
- (479) 451-0579
- Fax
- (479) 451-0297
- NPI assigned
- Jan 29, 2020
- Last updated
- Oct 9, 2020
- 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) 347-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
145 N Curtis Ave
Pea Ridge, AR 72751-3407
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239378749 | Medicaid | AR |
Other names 1
- ARcare135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200319000211 | AR | Part A Provider - Federally Qualified Health Center (FQHC) | 2567370620 | Practice locations: Pea Ridge, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073144028. Details of each certification follow.
Federally qualified health center certification: CCN 041964
- Legal name
- ARCARE
- Doing business as
- ARCARE135
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 6, 2020
- Last certification
- Apr 6, 2020
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Feb 6, 1986 in AR
- Enrollment address
- 145 N Curtis Ave
Pea Ridge, AR 72751-3407
National Provider Directory
National Provider Directory- Tax ID family
- Augusta Medical Clinic
Organizations with this tax ID in the same state 19
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 27
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 | |
| Lauren Fields | Corporate Officer | Jan 2, 2020 | |
| Marsha a White | Corporate Director | Jan 31, 2012 | |
| Wintson Collier | Corporate Officer | Sep 1, 2021 | |
| Betty K Thompson | Corporate Director | Jan 17, 2022 | |
| Arcare | Operational/Managerial Control | Feb 6, 1986 | |
| William Patton | Corporate Director | Jan 29, 2025 | |
| Rickie Lee Swinney | Corporate Director | Jan 17, 2022 | |
| Gary Browning | Corporate Director | Jan 24, 2023 | |
| Doyle W Fowler | Corporate Director | Jan 22, 2008 | |
| Broderick Eaton | Corporate Director | Jan 1, 2024 | |
| Natalie Carden | Operational/Managerial Control | Jan 17, 2022 | |
| Martha J Ray | Corporate Director | Apr 25, 1989 | |
| Melissa Masingill | Corporate Officer | Feb 26, 2024 | |
| Ella M Watson | Corporate Director | Jan 29, 2013 | |
| Clint Shackelford | Corporate Officer | Jan 17, 2022 | |
| Joey D Miller | Corporate Officer | Jan 22, 2019 | |
| Jamie Mobley | Corporate Officer | May 2, 2024 | |
| 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 34
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 |
| 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 |
Facilities with the same owner 34
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba ARcare 26
- Federally Qualified Health Center (FQHC)
- Cherry Valley, AR
- NPI 1437436573
Arcare
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Augusta, AR
- NPI 1699731091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602201600000",
"number": "1073144028",
"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",
"fax_number": "870-347-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N CURTIS AVE",
"city": "PEA RIDGE",
"state": "AR",
"postal_code": "727513407",
"telephone_number": "479-451-0579",
"fax_number": "479-451-0297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A",
"authorized_official_last_name": "COLLIER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-347-3300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "239378749",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ARcare135",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ARcare135",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pea Ridge, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.