Arcare

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ARCARE

Doing business as

MississippiCare 113

Practice address

353 Highway 15 N
Pontotoc, MS 38863-1103

Phone

(662) 490-1985

Fax

(662) 490-1989

NPI assigned

Aug 29, 2017

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Collier, M.D.NPI 1699731091

Title

Ceo

Phone

(870) 347-2534

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MississippiCare 113 Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699292797. Details of each certification follow.

• CCN 251066 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 251066

Legal name

ARCARE

Doing business as

MISSISSIPPICARE 113

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 9, 2017

Last certification

Oct 9, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 6, 1986 in AR

Enrollment address

353 Highway 15 N
Pontotoc, MS 38863-1103

Other NPIs on the same Medicare enrollment 1

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

• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542

  O20171019000214

  Same enrollment

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Steven Collier, MD

  • Family Medicine Physician
  • Augusta, AR
  • NPI 1699731091

  Corporate Officer

  CMS ownership
• Broderick Eaton, DO

  • Family Medicine Physician
  • Wynne, AR
  • NPI 1992115646

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 34

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

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Arcare

  dba MississippiCare129

  • Federally Qualified Health Center (FQHC)
  • Oxford, MS
  • NPI 1124661855

  Arcare

  CMS ownership
• Arcare

  dba MississippiCare127

  • Federally Qualified Health Center (FQHC)
  • Tupelo, MS
  • NPI 1477245538

  Arcare

  CMS ownership
• Arcare

  dba ARcare 41

  • Federally Qualified Health Center (FQHC)
  • Batesville, AR
  • NPI 1053676718

  Arcare

  CMS ownership
• Arcare

  dba ARcare135

  • Federally Qualified Health Center (FQHC)
  • Pea Ridge, AR
  • NPI 1073144028

  Arcare

  CMS ownership
• Arcare

  dba ARcare 25

  • Federally Qualified Health Center (FQHC)
  • Parkin, AR
  • NPI 1083675524

  Arcare

  CMS ownership
• Arcare

  dba ARcare 59

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, AR
  • NPI 1154776532

  Arcare

  CMS ownership
• Arcare

  dba ARcare69

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1215523931

  Arcare

  CMS ownership
• Arcare

  dba ARcare 48

  • Federally Qualified Health Center (FQHC)
  • Batesville, AR
  • NPI 1235542937

  Arcare

  CMS ownership
• Arcare

  dba ARcare 45

  • Federally Qualified Health Center (FQHC)
  • Newport, AR
  • NPI 1255392957

  Arcare

  CMS ownership
• Arcare

  dba ARcare 93

  • Federally Qualified Health Center (FQHC)
  • Cabot, AR
  • NPI 1255635496

  Arcare

  CMS ownership
• Arcare

  dba ARcare 22

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, AR
  • NPI 1326365776

  Arcare

  CMS ownership
• Arcare

  dba ARcare138

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1346814670

  Arcare

  CMS ownership

Practitioners 2

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.

• Steven Collier, MD

  • Family Medicine Physician
  • Augusta, AR
  • NPI 1699731091
  NPD Authorized official
• Katina Briscoe, APN

  • Family Nurse Practitioner
  • Augusta, AR
  • NPI 1023170305
  NPD

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1699292797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 HIGHWAY 15 N",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631103",
            "telephone_number": "662-490-1985",
            "fax_number": "662-490-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-347-2534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09322257",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MississippiCare 113",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Access Family Health Services, Inc. (Access School Health - South Pontotoc)
• Acute Care & Family Clinic of Pontotoc
• John C Adams, MD
• Alliance Rehabilitation, Inc
• William David Anderson, D.C.
• Sierra Lyn Ashe, RN, BSN, CLC
• Athletico, LTD (Athletico Physical Therapy)
• Jo Baker, LCSW
• Shonve Ball, FNP
• Andrew Bell, DPT

• Federally Qualified Health Center (FQHC) in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.