NPIMap

Organization Active NPI

1St Choice Healthcare Inc

Doing business as 1st Choice Healthcare

  • Federally Qualified Health Center (FQHC)
  • Pocahontas, AR
National Provider Identifier
1366498735
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
1ST CHOICE HEALTHCARE INC
Doing business as
1st Choice Healthcare
Practice address
1016 McQuay Ave
Pocahontas, AR 72422
Phone
(870) 892-9949
Fax
(870) 892-0208
NPI assigned
May 26, 2006
Reactivated
Jun 9, 2006
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
1ST CHOICE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Sydney Stevens
Title
Chief Operating Officer
Phone
(870) 857-3334

Specialties & licenses 1

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

Addresses

Primary practice location

1016 McQuay Ave
Pocahontas, AR 72422

Mailing address

PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334

Other names 1

  • 1st Choice Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100427000059 AR Part B Supplier - Clinic/Group Practice 0648184218 Receives reassigned benefits from 41 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Walnut Ridge, AR; Salem, AR; Pocahontas, AR; Highland, AR; Paragould, AR; Corning, AR
O20100621000892 AR Part A Provider - Federally Qualified Health Center (FQHC) 0648184218 Practice locations: Pocahontas, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366498735. Details of each certification follow.

Federally qualified health center certification: CCN 041840

Legal name
1ST CHOICE HEALTHCARE INC
Doing business as
1ST CHOICE HEALTHCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 20, 2000
Last certification
Jan 20, 2000
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 3, 1992 in AR
Enrollment address
1016 McQuay Ave
Pocahontas, AR 72455-2407
Related CCNs
041832

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D09708481St Choice Healthcare, Inc1016 McQuay Ave, Pocahontas, AR 72455AccreditationJun 6, 2027

National Provider Directory

National Provider Directory
Part of
George Hobby

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Freda Adams Individual W-2 Managing EmployeeProvider Enrollment Coordinator Sep 5, 2023
Paul Carr Individual Corporate DirectorBoard Member Jul 1, 2024
Patricia Patterson Individual Corporate DirectorBoard Member Jul 1, 2024
Greg Mock Individual Corporate DirectorBoard Member Jul 1, 2021
Diana Dalton Individual Corporate DirectorBoard Member Jan 1, 2025
Randy Goodman Individual Corporate DirectorBoard Member Jul 1, 2023
Pat Johnson Individual Corporate DirectorBoard Member Jul 1, 2025
Brenda Poindexter Individual Corporate DirectorBoard Member Aug 1, 2022
Josh Gooch Individual Corporate DirectorBoard Member Jul 1, 2021
Sydney Stevens Individual Corporate OfficerCoo Jan 1, 2023
W-2 Managing EmployeeCoo Oct 31, 2022
Operational/Managerial ControlCoo Jan 1, 2023
Joey Radcliff Individual Corporate DirectorCfo May 28, 2018
W-2 Managing EmployeeCfo May 28, 2018
Jerry Phillips Individual Corporate DirectorBoard Member Jul 1, 2021
Joie Saienni Individual Corporate DirectorBoard Member Jul 1, 2021
Bonnie White Individual Corporate OfficerBoard Chair Jul 1, 2021
Nick Manatt Individual Corporate DirectorBoard Member Jul 1, 2021
Brigitte McDonald Individual Corporate OfficerCeo Jun 29, 2010 100%
W-2 Managing EmployeeCeo Jun 29, 2010
Operational/Managerial ControlCeo Jun 29, 2010 100%
Larry Lawrence Individual Corporate DirectorBoard Member Jul 1, 2021

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
1St Choice Healthcare IncParagould, AR, CCN 041908 Federally qualified health center Operational/Managerial Control Jun 20, 1996
1St Choice Healthcare IncSalem, AR, CCN 041928 Federally qualified health center Operational/Managerial Control Apr 17, 2017

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1366498735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MCQUAY AVE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72422",
            "telephone_number": "870-892-9949",
            "fax_number": "870-892-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1ST CHOICE HEALTHCARE, INC.",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "deactivation_date": "2006-06-09",
        "reactivation_date": "2006-06-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "870-857-3334"
    },
    "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": "1st Choice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "1st Choice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.