Cabun Rural Health Services, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Strong, AR
NPI 1821032046 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1821032046
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CABUN RURAL HEALTH SERVICES, INC
- Practice address
- 253 S Concord
Strong, AR 71765 - Phone
- (870) 797-7620
- Fax
- (870) 797-2459
- NPI assigned
- Jun 16, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CABUN RURAL HEALTH SERVICES, INC
Authorized official
- Name
- Susan Diane Johnston, LPN, LRT, RMC
- Title
- Billing Supervisor
- Phone
- (870) 798-4064
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 8
Practitioners 4
-
Robert Todd Pennington, FNP-C
-
Rhonda Seat, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0465612 | Strong Clinic | Compliance | Aug 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Federally qualified health center certification: CCN 041827
- Legal name
- CABUN RURAL HEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 1, 1991
- Last certification
- Oct 1, 1991
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 25, 1977 in AR
- Enrollment address
- 253S Concord St
Strong, AR 71765
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Jeanne D Bender |
Corporate Director |
Nov 1, 2003 | |
| Shirley F Strickland |
Corporate Officer |
Aug 1, 2001 | |
| W-2 Managing Employee |
Aug 1, 2002 | ||
| Melanie J Sheppard |
Corporate Officer |
Apr 1, 2009 | 50% |
| W-2 Managing Employee |
Apr 1, 2009 | ||
| Operational/Managerial Control |
Oct 17, 2016 | ||
| Susan D Johnston |
Corporate Officer |
Nov 1, 2005 | |
| W-2 Managing Employee |
Oct 1, 2009 | ||
| Operational/Managerial Control |
Oct 17, 2016 | ||
| James C Rawls |
Corporate Director |
Apr 1, 2009 | |
| Sandra J Gaskin |
Corporate Director |
Apr 1, 1995 | |
| Amanda M Strickland |
Corporate Director |
May 27, 2014 | |
| Tracy L Madlock |
Corporate Officer |
Nov 7, 2016 | |
| W-2 Managing Employee |
Oct 17, 2016 | ||
| Operational/Managerial Control |
Oct 17, 2016 | ||
| Kristie a May |
Corporate Director |
Jan 21, 2003 | |
| Lenora a Davidson-McGoogan |
Corporate Director |
Apr 1, 2006 | |
| Donald R Cain |
Corporate Director |
Apr 1, 1999 | |
| Travis J McNiel |
Corporate Director |
Mar 28, 2011 | |
| Lillie M Randall |
Corporate Director |
Apr 1, 1995 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000620 | AR | Part B Supplier - Clinic/Group Practice | 9133029234 |
Receives reassigned benefits from 11 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hampton, AR; Strong, AR; Lewisville, AR; Hope, AR; Bearden, AR; Amity, AR |
| O20060818000545 | AR | Part a Provider - Federally Qualified Health Center (FQHC) | 9133029234 | Practice locations: Strong, AR |
National Provider Directory
- Tax ID family
- Cabun Clinic
- Part of
- Cabun Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
253 S Concord
Strong, AR 71765
Mailing address
PO Box 565
Strong, AR 71765-0565
Phone (870) 797-7620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122633749 | Medicaid | AR |
Other names
- Strong Clinic
Other providers in Strong, AR
- Katrina Hatter
- Mattie Keaster
- Newsom Family Pharmacy LLC
- Lynn Matthews Strickland
- Stronghuttig School District
All providers in Strong, AR · Federally Qualified Health Center (FQHC) in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.