Organization Active NPI

Arcare

Doing business as ARcare 16

  • Federally Qualified Health Center (FQHC)
  • Bald Knob, AR
National Provider Identifier
1710948419
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ARCARE
Doing business as
ARcare 16
Practice address
178 Highway 167 N
Bald Knob, AR 72010-4058
Phone
(501) 724-6207
Fax
(501) 724-3305
NPI assigned
Mar 31, 2006
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ARCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Steven F Collier
Title
Ceo
Phone
(870) 347-2534

Specialties & licenses 1

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

Addresses

Primary practice location

178 Highway 167 N
Bald Knob, AR 72010-4058

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (501) 724-6207

Other identifiers 1

IdentifierTypeStateIssuer
122929749MedicaidAR

Other names 1

  • ARcare 16 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20100318000797 AR Part A Provider - Federally Qualified Health Center (FQHC) 2567370620 Practice locations: Bald Knob, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710948419. Details of each certification follow.

Federally qualified health center certification: CCN 041828

Legal name
ARCARE
Doing business as
ARCARE 16
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 1, 1993
Last certification
Apr 1, 1993
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 6, 1986 in AR
Enrollment address
178 Highway 167
Bald Knob, AR 72010-4058

Other NPIs on the same Medicare enrollment 49

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

View all 49

National Provider Directory

National Provider Directory
Part of
White River Rural Healt

Locations

178 Highway 167 N
Bald Knob, AR 72010
Phone (501) 724-6207

Ownership & related parties

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.

NameRoleSinceShare
Floyd H Waymire Individual Corporate DirectorBoard Member Jun 17, 2009
Christian L Gibson Individual Corporate OfficerCoo Jan 22, 2019
Marsha a White Individual Corporate DirectorBoard Member Jan 31, 2012
Betty K Thompson Individual Corporate DirectorBoard Member Jan 17, 2022
Rickie Lee Swinney Individual Corporate DirectorBoard Member Jan 17, 2022
Gary Browning Individual Corporate DirectorBoard Member Jan 24, 2023
Doyle W Fowler Individual Corporate DirectorBoard Member May 20, 2009
Broderick Eaton Individual Corporate DirectorMedical Director Jan 1, 2024
Martha J Ray Individual Corporate DirectorBoard Member Jun 17, 2009
Ella M Watson Individual Corporate DirectorBoard Member Jan 29, 2013
Clint Shackelford Individual Operational/Managerial ControlCoo Jan 1, 2022
Joey D Miller Individual Corporate DirectorCoo May 20, 2009
W-2 Managing EmployeeCoo May 20, 2009
Ronald Tuggle Individual Operational/Managerial ControlVP of Operations Jan 2, 2024
Janet L Wright Individual Corporate Director Jan 29, 2013
Talmage J Whitehead Individual Corporate DirectorCfo Jun 17, 2009
Operational/Managerial ControlPresident Jan 1, 2022
George D Morris Individual Corporate DirectorBoard Member Dec 11, 2019
Patricia a Holloway Individual Corporate DirectorBoard Member Jun 17, 2009
Janice Beard Individual Corporate DirectorBoard Member Apr 25, 2023
Steven F Collier Individual Corporate DirectorCeo Jun 17, 2009
Ellen H Russell Individual Corporate DirectorBoard Member Jan 22, 2019
Jeremy R Beehn Individual Corporate OfficerCfa Jan 3, 2022

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 35

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

FacilityTypeRoleSince
Arcare 25Parkin, AR, CCN 041836 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 22Jonesboro, AR, CCN 041874 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 93Cabot, AR, CCN 041877 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Kentuckycare21Bardwell, KY, CCN 181885 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 24Conway, AR, CCN 041879 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 26Cherry Valley, AR, CCN 041878 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 29Augusta, AR, CCN 041882 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 41Batesville, AR, CCN 041888 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 100Melbourne, AR, CCN 041889 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 46Cabot, AR, CCN 041893 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 47Lonoke, AR, CCN 041894 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 42Mayflower, AR, CCN 041885 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 48Batesville, AR, CCN 041901 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 23Horseshoe Bend, AR, CCN 041902 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 45Newport, AR, CCN 041839 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 88Little Rock, AR, CCN 041911 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 89Cabot, AR, CCN 041913 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 59Jonesboro, AR, CCN 041920 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 87Vilonia, AR, CCN 041924 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Mississippicare 113Pontotoc, MS, CCN 251066 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare64Searcy, AR, CCN 041938 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare120McCrory, AR, CCN 041942 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare 121Benton, AR, CCN 041949 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare131Rose Bud, AR, CCN 041960 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Mississippicare129Oxford, MS, CCN 251104 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare136Springdale, AR, CCN 041963 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare135Pea Ridge, AR, CCN 041964 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare124Farmington, AR, CCN 041970 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare69West Memphis, AR, CCN 041978 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare192Clarksville, AR, CCN 041983 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare138Little Rock, AR, CCN 041986 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2002
Arcare141Jonesboro, AR, CCN 041003 Federally qualified health center Operational/Managerial Control Feb 28, 2022
Arcare142Beebe, AR, CCN 041004 Federally qualified health center Operational/Managerial Control Apr 18, 2022
Mississippicare127Tupelo, MS, CCN 251154 Federally qualified health center Operational/Managerial Control Feb 6, 1986
Arcare74Wynne, AR, CCN 041031 Federally qualified health center Operational/Managerial Control Feb 6, 1986

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1710948419",
    "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": "501-724-6207",
            "fax_number": "501-724-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 167 N",
            "city": "BALD KNOB",
            "state": "AR",
            "postal_code": "720104058",
            "telephone_number": "501-724-6207",
            "fax_number": "501-724-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCARE",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-347-2534",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "122929749",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARcare 16",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bald Knob, AR

Sources for this page

Verify at the official NPI Registry.