NPIMap

Organization Active NPI

St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, AR
National Provider Identifier
1700650249
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ST FRANCIS HOUSE NWA, INC
Practice address
3729 N Crossover Rd Ste 107
Fayetteville, AR 72703-5538
Phone
(479) 595-8676
Fax
(479) 751-2878
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
James A Semingson, CNP
Title
Ceo
Phone
(479) 751-7417

Specialties & licenses 1

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

Addresses

Primary practice location

3729 N Crossover Rd Ste 107
Fayetteville, AR 72703-5538

Mailing address

614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417

Other names 1

  • ADVANCED HEALTH & WELLNESS I Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220527002133 AR Part B Supplier - Clinic/Group Practice 0042262495 Receives reassigned benefits from 52 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Fork, AR; Siloam Springs, AR; Fayetteville, AR; Elkins, AR; Gentry, AR
O20240117000943 AR Part A Provider - Federally Qualified Health Center (FQHC) 0042262495 Practice locations: Fayetteville, AR

Federally qualified health center certification: CCN 041048

Legal name
ST. FRANCIS HOUSE NWA, INC.
Doing business as
ADVANCED HEALTH & WELLNESS I
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 17, 2024
Last certification
Jan 17, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1990 in AR
Enrollment address
3729 N Crossover Rd
Ste 107
Fayetteville, AR 72703-5538

Other NPIs on the same Medicare enrollment 8

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
04D2294418Advanced Health and Wellness I3729 N Crossover Rd #107, Fayetteville, AR 72703Certificate of waiverNov 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Francis House Nwa Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
St. Francis House Nwa, Inc. Organization, Springdale, AR Other Jan 1, 2024 100%
Sloan Scroggin Individual Corporate DirectorMember, Board of Directors Aug 30, 2023 10%
Carol Silva Moralez Individual Corporate DirectorVice-President, Board of Directors Aug 30, 2023 10%
Martha Anderson Individual Corporate DirectorMember, Board of Directors Aug 30, 2023 10%
Albert Barber Individual Corporate DirectorMember, Board of Directors Aug 30, 2023 10%
Debby Thetford Nye Individual Corporate DirectorSecretary, Board of Directors Aug 30, 2023 10%
Sara Milford Individual Corporate DirectorMember, Board of Directors Aug 30, 2023 10%
James a Semingson Individual W-2 Managing EmployeeCeo Sep 17, 2018 10%
Mayra P Esquivel Individual Corporate DirectorMember, Board of Directors Aug 30, 2023 10%
Lynn Su Chen Wong Individual Corporate DirectorMember, Board of Directors Aug 30, 2023 10%
Andrew Branch Individual Corporate DirectorPresident, Board of Directors Aug 30, 2023 10%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 17

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

FacilityTypeRoleSince
Owl Creek School Based Health CenterFayetteville, AR, CCN 041886 Federally qualified health center Other (100%) Apr 3, 2014
Jones School Based Health CenterSpringdale, AR, CCN 041897 Federally qualified health center Other (100%) May 20, 2014
Siloam Springs School Based Health CenterSiloam Springs, AR, CCN 041896 Federally qualified health center Other (100%) Jun 26, 2014
Prairie Grove School Based Health CenterPrairie Grove, AR, CCN 041899 Federally qualified health center Other (100%) Aug 4, 2014
Community Clinic Springdale Medical Family PracticeSpringdale, AR, CCN 041900 Federally qualified health center Other (100%) Aug 26, 2014
George Elementary School Based Health CenterSpringdale, AR, CCN 041904 Federally qualified health center Other (100%) Dec 9, 2014
Elmdale School Based Health CenterSpringdale, AR, CCN 041906 Federally qualified health center Other (100%) May 12, 2015
Community Clinic Fayetteville MedicalFayetteville, AR, CCN 041909 Federally qualified health center Other (100%) Nov 2, 2015
Parson Hills School Based Health CenterSpringdale, AR, CCN 041965 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 24, 2019
Community Clinic Pea RidgePea Ridge, AR, CCN 041971 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 5, 2020
Community Clinic Don Tyson School of InnovationSpringdale, AR, CCN 041001 Federally qualified health center Operational/Managerial Control (100%) Feb 14, 2022
Community Clinic ElkinsElkins, AR, CCN 041007 Federally qualified health center Other (100%) May 1, 2022
Community Clinic CentertonCenterton, AR, CCN 041017 Federally qualified health center Other (100%) Nov 28, 2022
Community Clinic Fayetteville High SchoolFayetteville, AR, CCN 041037 Federally qualified health center Other (100%) Aug 30, 2023
Community Clinic Central Junior HighSpringdale, AR, CCN 041074 Federally qualified health center Other (100%) Jul 17, 2024
Community Clinic West ForkWest Fork, AR, CCN 041076 Federally qualified health center Other (100%) Oct 1, 2024
Community Clinic Rogers HeritageRogers, AR, CCN 041107 Federally qualified health center Other (100%) Apr 6, 2026

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1700650249",
    "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": "479-751-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 N CROSSOVER RD STE 107",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035538",
            "telephone_number": "479-595-8676",
            "fax_number": "479-751-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS HOUSE NWA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "SEMINGSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-751-7417",
        "authorized_official_credential": "CNP"
    },
    "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": "ADVANCED HEALTH & WELLNESS I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.