NPIMap

Organization Active NPI

East Arkansas Family Health Center Inc.

Doing business as FCJH Health and Wellness Facility

  • Federally Qualified Health Center (FQHC)
  • Forrest City, AR
National Provider Identifier
1124987458
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST ARKANSAS FAMILY HEALTH CENTER INC.
Doing business as
FCJH Health and Wellness Facility
Practice address
1133 N Division St
Forrest City, AR 72335-2397
Phone
(870) 292-3950
NPI assigned
Jan 21, 2026
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Ward-Jones, MD
Title
Ceo
Phone
(870) 292-3950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1133 N Division St
Forrest City, AR 72335-2397

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 292-3950

Other names 1

  • FCJH Health and Wellness Facility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260407000857 AR Part A Provider - Federally Qualified Health Center (FQHC) 1052390390 Practice locations: Forrest City, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124987458. Details of each certification follow.

Federally qualified health center certification: CCN 041104

Legal name
EAST ARKANSAS FAMILY HEALTH CENTER, INC
Doing business as
FCJH HEALTH & WELLNESS FACILITY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 6, 2026
Last certification
Mar 6, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1133 N Division St
Forrest City, AR 72335-2397

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Trumann Family Health Center17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1133 N Division St
Forrest City, AR 72335
Phone (870) 292-3950

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Susan Ward Jones Individual Corporate OfficerCeo Nov 1, 2006
W-2 Managing EmployeeAd; Nov 1, 2006
Larry Robinson Individual Corporate DirectorBoard Member Jun 18, 2014
Cynthia Conner Individual Corporate DirectorBoard Member Sep 9, 2016
Randall S Burcham Individual Corporate DirectorBoard Member May 26, 2015
Kyle Miller Individual Corporate DirectorBoard Member Sep 23, 2019
Sara Joplin Individual Corporate DirectorBoard Member Aug 24, 2020
Dewayne Rose Individual Corporate DirectorBoard Member Feb 1, 2023
Sandra Teague Individual Corporate DirectorBoard Member Jul 23, 2012
Tracy Evans Individual Corporate DirectorBoard Member May 26, 2015

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 1

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

FacilityTypeRoleSince
Marion School District School Based Health CenterMarion, AR, CCN 041941 Federally qualified health center Operational/Managerial Control (100%) Aug 13, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1124987458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-292-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N DIVISION ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352397",
            "telephone_number": "870-292-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ARKANSAS FAMILY HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "WARD-JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-292-3950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCJH Health and Wellness Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.