St. Francis House Nwa, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ST. FRANCIS HOUSE NWA, INC.

Doing business as

Community Clinic Springdale Medical

Practice address

614 E Emma Ave Ste 300
Springdale, AR 72764-4469

Phone

(479) 751-7417

Fax

(479) 751-2878

NPI assigned

Aug 8, 2006

Last updated

Jan 15, 2020By 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

James SemingsonNPI 1841635596

Title

Ceo

Phone

(479) 751-7417

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Community Clinic Springdale Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in AR3 enrollments

Enrollment records 3

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1699785089. Details of each certification follow.

• CCN 041864 Federally qualified health center · Active · Details
• CCN 041858 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 041864

Legal name

ST. FRANCIS HOUSE NWA, INC.

Doing business as

COMMUNITY CLINIC ROGERS MEDICAL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 7, 2008

Last certification

Mar 7, 2008

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 30, 1996 in AR

Enrollment address

1233 W Poplar St
Rogers, AR 72756-4245

Federally qualified health center certification: CCN 041858

Legal name

ST. FRANCIS HOUSE NWA, INC.

Doing business as

COMMUNITY CLINIC SPRINGDALE MEDICAL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 14, 2005

Last certification

Apr 14, 2005

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 30, 1996 in AR

Enrollment address

614 E Emma Ave
Ste 300
Springdale, AR 72764-4469

Other NPIs on the same Medicare enrollment 17

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

• St Francis House Nwa, Inc

  dba Community Clinic Fayetteville Medical

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, AR
  • NPI 1013384288

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Jones School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1023328002

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Lincoln School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Lincoln, AR
  • NPI 1053714295

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Community Clinic Rogers Heritage

  • Federally Qualified Health Center (FQHC)
  • Rogers, AR
  • NPI 1063371367

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Siloam Springs SBHC

  • Federally Qualified Health Center (FQHC)
  • Siloam Springs, AR
  • NPI 1083034029

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Community Clinic Centerton

  • Federally Qualified Health Center (FQHC)
  • Centerton, AR
  • NPI 1093442162

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Community Clinic Springdale Medical - Family Practice

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1356759385

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba George Elementary School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1609272640

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Parson Hills School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1649814138

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Community Clinic Pea Ridge

  • Federally Qualified Health Center (FQHC)
  • Pea Ridge, AR
  • NPI 1669099073

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Owl Creek School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, AR
  • NPI 1740578897

  O20090526000134

  Same enrollment
• St Francis House Nwa, Inc

  dba Community Clinic Central Junior High

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1821838996

  O20090526000134

  Same enrollment

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 16

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 1

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

• James A Semingson II, CNP

  • Family Nurse Practitioner
  • Springdale, AR
  • NPI 1841635596

  Corporate Officer, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 18

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

Practitioners 7

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.

• James A Semingson II, CNP

  • Family Nurse Practitioner
  • Springdale, AR
  • NPI 1841635596
  NPD Authorized official
• Loren Barry Allen, MD

  • Pediatric Adolescent Medicine Physician
  • Rogers, AR
  • NPI 1811955974
  NPD
• Kathryn Elizabeth Lazure, NP

  • Family Nurse Practitioner
  • Prairie Grove, AR
  • NPI 1649744244
  NPD
• Meghan Mask

  • Family Nurse Practitioner
  • Fayetteville, AR
  • NPI 1679226708
  NPD
• Linda A McGhee, M.D.

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1558330704
  NPD
• James Lee Pridmore, LCSW

  • Clinical Social Worker
  • Springdale, AR
  • NPI 1548440514
  NPD
• Melisa Swearingen

  • Family Nurse Practitioner
  • Rogers, AR
  • NPI 1518582154
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1699785089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS HOUSE NWA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "SEMINGSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-751-7417"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155917749",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUECROSS BLUESHIELD",
            "identifier": "5F343",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Clinic Springdale Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Clinic Springdale Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Francis House Nwa, Inc (Community Clinic Springdale Audiology)
• St Francis House Nwa, Inc (Community Clinic Central Junior High)
• St Francis House Nwa, Inc (Jones School Based Health Center Dental)
• St Francis House Nwa, Inc (Elmdale School Based Health Center)
• St Francis House Nwa, Inc (Community Clinic Don Tyson School of Innovation)
• St. Francis House, Nwa, Inc.
• Caitlyn A Staab
• Stability Plus LLC
• Jeanine Stable, RN
• Michelle Hand Stacy, SLP

• Federally Qualified Health Center (FQHC) in Springdale, AR
• Providers in Springdale, AR by specialty
• Federally Qualified Health Center (FQHC) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.