NPIMap

Organization Active NPI

1St Choice Healthcare Inc

Doing business as 1st Choice Healthcare Paragould

  • Federally Qualified Health Center (FQHC)
  • Paragould, AR
National Provider Identifier
1730568189
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
1ST CHOICE HEALTHCARE INC
Doing business as
1st Choice Healthcare Paragould
Practice address
1 Medical Dr
Paragould, AR 72450-4017
Phone
(870) 236-2000
Fax
(870) 236-5861
NPI assigned
May 19, 2015
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
1ST CHOICE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Sydney Stevens
Title
Chief Operating Officer
Phone
(870) 857-3334

Specialties & licenses 1

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

Addresses

Primary practice location

1 Medical Dr
Paragould, AR 72450-4017

Mailing address

PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334

Other names 1

  • 1st Choice Healthcare Paragould Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100427000059 AR Part B Supplier - Clinic/Group Practice 0648184218 Receives reassigned benefits from 41 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Walnut Ridge, AR; Salem, AR; Pocahontas, AR; Highland, AR; Paragould, AR; Corning, AR
O20151106000696 AR Part A Provider - Federally Qualified Health Center (FQHC) 0648184218 Practice locations: Paragould, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730568189. Details of each certification follow.

Federally qualified health center certification: CCN 041908

Legal name
1ST CHOICE HEALTHCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 29, 2015
Last certification
Oct 29, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 7, 1994 in AR
Enrollment address
1 Medical Dr
Paragould, AR 72450-4017

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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
04D21030391St Choice Healthcare#1 Medical Drive, Suite 100, Paragould, AR 72450AccreditationMar 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Center7 organizations share this tax ID, including this one
Part of
Family Medical Center

Other organizations with this tax ID 6

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

Locations

1 Medical Dr
Paragould, AR 72450
Phone (870) 215-0187

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Freda Adams Individual W-2 Managing EmployeeProvider Enrollment Coordinator Sep 5, 2023
Paul Carr Individual Corporate DirectorBoard Member Jul 1, 2024
Patricia Patterson Individual Corporate DirectorBoard Member Jul 1, 2024
1St Choice Healthcare Inc Organization, Paragould, AR Non-profit Operational/Managerial Control Jun 20, 1996
Greg Mock Individual Corporate DirectorBoard Member Jul 1, 2021
Diana Dalton Individual Corporate DirectorBoard Member Jan 1, 2025
Randy Goodman Individual Corporate DirectorBoard Member Jul 1, 2023
Pat Johnson Individual Corporate OfficerBoard Member Jul 1, 2025
Brenda Poindexter Individual Corporate DirectorBoard Member Jul 1, 2022
Josh Gooch Individual Corporate DirectorBoard Member Jul 1, 2021
Sydney Stevens Individual Corporate OfficerCoo Oct 31, 2022
Joey Radcliff Individual Corporate DirectorCfo May 28, 2018
W-2 Managing EmployeeCfo May 28, 2018
Jerry Phillips Individual Corporate DirectorBoard Member Jul 1, 2021
Joie Saienni Individual Corporate DirectorBoard Member Jul 1, 2021
Bonnie White Individual Corporate OfficerBoard Chair Jul 1, 2021
Nick Manatt Individual Corporate DirectorBoard Member Jul 1, 2021
Brigitte McDonald Individual Corporate DirectorCeo Mar 1, 1997
W-2 Managing EmployeeCeo Mar 3, 1992
Larry Lawrence Individual Corporate DirectorBoard Member Jul 1, 2021

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
1St Choice Healthcare IncSalem, AR, CCN 041928 Federally qualified health center Operational/Managerial Control Apr 17, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1730568189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504017",
            "telephone_number": "870-236-2000",
            "fax_number": "870-236-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1ST CHOICE HEALTHCARE, INC.",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "870-857-3334"
    },
    "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": "1st Choice Healthcare Paragould",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "1st Choice Healthcare Paragould",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.