Arcare
Organization Active NPI Federally Qualified Health Center (FQHC) · Augusta, AR
NPI 1598023293 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1598023293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ARCARE
- Practice address
- 800 Main St
Augusta, AR 72006-2449 - Phone
- (870) 347-3402
- Fax
- (870) 347-3403
- NPI assigned
- May 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven F Collier, M.D.
- Title
- Ceo
- Phone
- (870) 347-2534
Owners & managing parties with NPI records 2
-
Steven Collier, MD
-
Broderick Eaton, DO
Other NPIs on the same Medicare enrollment 49
Facilities with the same owner 34
Practitioners 2
-
Julian Hernandez, M.D.
-
Matthew Patoka, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2039973 | Arcare 29 | Certificate of waiver | Apr 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Federally qualified health center certification: CCN 041882
- Legal name
- ARCARE
- Doing business as
- ARCARE 29
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 5, 2012
- Last certification
- Jun 5, 2012
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 6, 1986 in AR
- Enrollment address
- 800 Main Street
Arcare 29
Augusta, AR 72006-2449
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Floyd H Waymire |
Corporate Director |
Feb 24, 1998 | |
| Christian L Gibson |
Operational/Managerial Control |
Jan 22, 2019 | |
| Marsha a White |
Corporate Officer |
Jan 31, 2012 | |
| Betty K Thompson |
Corporate Director |
Jan 17, 2022 | |
| Arcare |
Operational/Managerial Control | Feb 6, 1986 | |
| Rickie Lee Swinney |
Corporate Director |
Jan 17, 2022 | |
| Jerry Jones |
Corporate Director |
Jan 23, 2024 | |
| Gary Browning |
Corporate Director |
Jan 24, 2023 | |
| Doyle W Fowler |
Corporate Director |
Jan 22, 2008 | |
| Broderick Eaton |
Corporate Director |
Jan 1, 2024 | |
| Martha J Ray |
Corporate Director |
Apr 25, 1989 | |
| Ella M Watson |
Corporate Officer |
Jan 29, 2013 | |
| Clint Shackelford |
Operational/Managerial Control |
Jan 1, 2022 | |
| Joey D Miller |
Corporate Officer |
Jun 1, 2002 | |
| Janet L Wright |
Corporate Officer |
Jan 29, 2013 | |
| Diane Verser |
Operational/Managerial Control |
Oct 19, 2020 | |
| Talmage J Whitehead |
Corporate Officer |
Sep 1, 2006 | |
| George D Morris |
Corporate Director |
Dec 11, 2018 | |
| Patricia a Holloway |
Corporate Director |
Apr 25, 1989 | |
| Janice Beard |
Corporate Director |
Apr 25, 2023 | |
| Steven F Collier |
Corporate Officer | May 31, 2012 | |
| Ellen H Russell |
Corporate Director |
Jan 22, 2019 | |
| Jeremy R Beehn |
Operational/Managerial Control |
Jan 3, 2022 |
All facility ownership & control disclosures 34
| Facility | Type | Role | Since |
|---|---|---|---|
| Arcare 25 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 22 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 93 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Kentuckycare21 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 24 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 26 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 41 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 100 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 46 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 47 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 42 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 48 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 23 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 45 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 88 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 89 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 59 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 87 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Mississippicare 113 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare64 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare120 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 121 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare131 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Mississippicare129 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare136 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare135 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare124 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare69 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare192 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare138 |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2002 |
| Arcare141 |
Federally qualified health center | Operational/Managerial Control | Feb 28, 2022 |
| Arcare142 |
Federally qualified health center | Operational/Managerial Control | Apr 18, 2022 |
| Mississippicare127 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare74 |
Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031206000059 | AR | Part B Supplier - Clinic/Group Practice | 2567370620 |
Receives reassigned benefits from 255 practitioners 49 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20120605000621 | AR | Part a Provider - Federally Qualified Health Center (FQHC) | 2567370620 | Practice locations: Augusta, AR |
National Provider Directory
Locations
1175 Vine St
Batesville, AR 72501
Phone (870) 793-4177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
800 Main St
Augusta, AR 72006-2449
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192171749 | Medicaid | AR |
Other names
- ARcare 29
Other providers in Augusta, AR
- Arcare
- Arcare
- Arcare
- Arcare
- Arcare
- Arcare
- Augusta School District
- Peggy Barker
- Bill'S Pharmacy, Inc
- Amanda Brewer
All providers in Augusta, 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 Jul 21, 2020. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.