Cabun Rural Health Services, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Hope, AR

NPI 1376583757 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1376583757
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CABUN RURAL HEALTH SERVICES, INC
Practice address
205 Smith Rd
Hope, AR 71801-8971
Phone
(870) 777-8420
Fax
(870) 777-2390
NPI assigned
Jun 7, 2006
Organization subpart
No

Authorized official

Name
Susan Diane Johnston, LPN, LRT, RMC
Title
Billing Supervisor
Phone
(870) 798-3515

Other NPIs on the same Medicare enrollment 5

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 8

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

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AR

Federally qualified health center certification: CCN 041835

Legal name
CABUN RURAL HEALTH SERVICES, INC
Doing business as
HOPE MIGRANT / COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 1995
Last certification
Mar 1, 1995
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Mar 3, 1977 in AR
Enrollment address
205 Smith Rd D
Hope, AR 71801-8971

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Melanie J Sheppard
Individual
Corporate Officer
Ceo
Jan 2, 2022
W-2 Managing Employee
Ceo
Mar 16, 2015
Operational/Managerial Control
Ceo
Apr 1, 2009
Susan D Johnston
Individual
W-2 Managing Employee
Cio
Mar 16, 2015
Operational/Managerial Control
Cio
Mar 16, 2015
James C Rawls
Individual
Corporate Director
Board Chair
Jan 12, 2009
Marsha Luna
Individual
Corporate Director
Board Member
Jan 2, 2022
Sandra J Gaskin
Individual
Corporate Director
Board Member
Apr 1, 1995
Tracy L Madlock
Individual
Corporate Officer
Coo
Jan 2, 2022
W-2 Managing Employee
Coo
Jan 2, 2022
Donald R Cain
Individual
Corporate Director
Board Member
Apr 1, 1999
Garry B Johns
Individual
Corporate Director
Board Member
Jan 2, 2022
Travis J McNiel
Individual
Corporate Director
Board Member
Apr 1, 2011
Vester Lambert
Individual
Corporate Director
Board Member
Jan 2, 2022
Lillie M Randall
Individual
Corporate Director
Board Vice Chair
Apr 1, 1995
Adam Bailey
Individual
Corporate Officer
Secretary Treasurer
Jan 2, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040113000620 AR Part B Supplier - Clinic/Group Practice 9133029234 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hampton, AR; Strong, AR; Lewisville, AR; Hope, AR; Bearden, AR; Amity, AR
O20060818000547 AR Part a Provider - Federally Qualified Health Center (FQHC) 9133029234 Practice locations: Hope, AR

National Provider Directory

Tax ID family
Cabun Clinic (9 organizations share this tax ID)

Locations

205 Smith Rd
Hope, AR 71801
Phone (870) 777-8420

Specialties & licenses

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

Addresses

Primary practice location

205 Smith Rd
Hope, AR 71801-8971

Mailing address

PO Box 1654
Hope, AR 71802-1654
Phone (870) 777-8420

Other identifiers

IdentifierTypeStateIssuer
127502749MedicaidAR

Other names

  • Hope Migrant Community Health Center Doing business as

Other providers in Hope, AR

All providers in Hope, AR · Federally Qualified Health Center (FQHC) in Arkansas

Sources for this page

Verify at the official NPI Registry.