East Arkansas Family Health Center Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Forrest City, AR
NPI 1124987458 · NPPES record last updated Apr 10, 2026
Key facts
- NPI
- 1124987458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- EAST ARKANSAS FAMILY HEALTH CENTER INC.
- Practice address
- 1133 N Division St
Forrest City, AR 72335-2397 - Phone
- (870) 292-3950
- NPI assigned
- Jan 21, 2026
- Organization subpart
- No
Authorized official
- Name
- Susan Ward-Jones, MD
- Title
- Ceo
- Phone
- (870) 292-3950
Owners & managing parties with NPI records 2
-
Randall Scott Burcham, MSSW LCSW
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 16
Practitioners 30
-
Yasir U. Afzal, M.D.
-
Kristi Renee Allen, A.N.P.
-
Holli Nicole Banks-Giles, M.D.
-
Lindsey Morgan Bryan, APRN
-
Geraldine G. Campbell, APRN-BC
-
Norman Clifford Denton, M.D.
-
Patricia A Devine, LCSW
-
Tameka Granberry, LCSW
-
Adrienne D Hatchett, M.D.
-
Emiley Kerns, APRN, FNP-C
-
Ursula Desha Logan, FNP
-
Kara Berry Matteson, PA-C
-
Sydnie McClinton, PA
-
Tanja Mead, MSN, FNP
-
Trent Patterson Pierce, M.D.
-
Jeffrey M. Pyne, MD
-
Cynthia Joyce Robinson, APRN
-
D'Juana P Smith, LCSW
-
Ellen L Speak, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
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
- Corporation · Non-profit
- Enrollment address
- 1133 N Division St
Forrest City, AR 72335-2397
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Ward Jones |
Corporate Officer |
Nov 1, 2006 | |
| W-2 Managing Employee |
Nov 1, 2006 | ||
| Larry Robinson |
Corporate Director |
Jun 18, 2014 | |
| Cynthia Conner |
Corporate Director |
Sep 9, 2016 | |
| Randall S Burcham |
Corporate Director |
May 26, 2015 | |
| Kyle Miller |
Corporate Director |
Sep 23, 2019 | |
| Sara Joplin |
Corporate Director |
Aug 24, 2020 | |
| Dewayne Rose |
Corporate Director |
Feb 1, 2023 | |
| Sandra Teague |
Corporate Director |
Jul 23, 2012 | |
| Tracy Evans |
Corporate Director |
May 26, 2015 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Marion School District School Based Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 13, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260407000857 | AR | Part a Provider - Federally Qualified Health Center (FQHC) | 1052390390 | Practice locations: Forrest City, AR |
National Provider Directory
- Tax ID family
- E Ar Family Health Ctr Inc
Locations
1133 N Division St
Forrest City, AR 72335
Phone (870) 292-3950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- FCJH Health and Wellness Facility
Other providers in Forrest City, AR
- Dr. Kumar'S Medical Clinic PA
- Lisa Anne Drake
- Kristen L Dunn
- Isabelle Early
- East Arkansas Childrens Clinic
- East Arkansas Family Health Center Inc.
- East Arkansas Physical Therapy
- East Arkansas Youth Services, Inc.
- Eastark One PLLC
- Eastern Arkansas Physical Therapy,PA
All providers in Forrest City, AR · Federally Qualified Health Center (FQHC) in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.