Arcare

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ARCARE

Doing business as

KentuckyCare151

Practice address

850 Cutoff Rd
Smithland, KY 42081-8914

Phone

(270) 928-3500

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Organization subpart

No

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) 347-3304

Specialties & licenses 1

Addresses

Other names 1

• KentuckyCare151 Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124696695. Details of each certification follow.

• CCN B01017 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN B01017

Legal name

ARCARE

Doing business as

KENTUCKYCARE 151

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 7, 2021

Last certification

Jul 7, 2021

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 6, 1986 in AR

Enrollment address

850 Cutoff Rd
Smithland, KY 42081-8914

Tax ID family

White River Rural Healt104 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Arcare

  dba Kentuckycare 161

  • Federally Qualified Health Center (FQHC)
  • Paducah, KY
  • NPI 1023991692
  NPD tax ID
• Arcare

  dba KentuckyCare153

  • Federally Qualified Health Center (FQHC)
  • Smithland, KY
  • NPI 1073189445
  NPD tax ID
• Arcare

  dba KentuckyCare 63

  • Federally Qualified Health Center (FQHC)
  • Mayfield, KY
  • NPI 1194263236
  NPD tax ID
• Arcare

  dba Kentucky Care 112

  • Federally Qualified Health Center (FQHC)
  • Barlow, KY
  • NPI 1215318019
  NPD tax ID
• Arcare

  dba KentuckyCare150

  • Federally Qualified Health Center (FQHC)
  • Burna, KY
  • NPI 1285200659
  NPD tax ID
• Arcare

  • Community/Retail Pharmacy
  • Barlow, KY
  • NPI 1295699908
  NPD tax ID
• Arcare

  dba KentuckyCare 43

  • Federally Qualified Health Center (FQHC)
  • Paducah, KY
  • NPI 1326486473
  NPD tax ID
• Arcare

  dba Arcare Pharmacy 146

  • Community/Retail Pharmacy
  • Bardwell, KY
  • NPI 1336965581
  NPD tax ID
• Arcare

  dba KentuckyCare58

  • Federally Qualified Health Center (FQHC)
  • Fulton, KY
  • NPI 1457131377
  NPD tax ID
• Arcare

  dba KentuckyCare39

  • Federally Qualified Health Center (FQHC)
  • Clinton, KY
  • NPI 1477263549
  NPD tax ID
• Arcare

  dba Arcare Pharmacy 145

  • Community/Retail Pharmacy
  • Clinton, KY
  • NPI 1649092115
  NPD tax ID
• Arcare

  dba KentuckyCare

  • Federally Qualified Health Center (FQHC)
  • Bardwell, KY
  • NPI 1669765038
  NPD tax ID

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Steven Collier, MD

  • Family Medicine Physician
  • Augusta, AR
  • NPI 1699731091

  Corporate Officer

  CMS ownership
• Broderick Eaton, DO

  • Family Medicine Physician
  • Wynne, AR
  • NPI 1992115646

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 35

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1124696695",
    "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": "850 CUTOFF RD",
            "city": "SMITHLAND",
            "state": "KY",
            "postal_code": "420818914",
            "telephone_number": "270-928-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-347-3304",
        "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": "KentuckyCare151",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arcare (KentuckyCare153)
• Tamara Cantrell, R.N.
• Deborah A Deguire, APRN, C-FNP
• Sonya C Forte, PA-C
• Graves County Health Department
• Graves County Health Department

• Federally Qualified Health Center (FQHC) in Smithland, KY
• Providers in Smithland, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.

Verify at the official NPI Registry.