Organization Active NPI

Arcare

Doing business as ARcare 100

  • Federally Qualified Health Center (FQHC)
  • Melbourne, AR
National Provider Identifier
1831442938
Registry record updated Jul 21, 2020
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 100
Practice address
54 Tate Springs Rd
Melbourne, AR 72556-8633
Phone
(870) 368-5030
Fax
(870) 368-5032
NPI assigned
Oct 26, 2012
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Steven Collier, M.D.
Title
Ceo
Phone
(870) 347-2534

Specialties & licenses 1

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

Addresses

Primary practice location

54 Tate Springs Rd
Melbourne, AR 72556-8633

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-1235

Other identifiers 1

IdentifierTypeStateIssuer
194658749MedicaidAR

Other names 1

  • ARcare 100 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
O20130222000090 AR Part A Provider - Federally Qualified Health Center (FQHC) 2567370620 Practice locations: Melbourne, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831442938. Details of each certification follow.

Federally qualified health center certification: CCN 041889

Legal name
ARCARE
Doing business as
ARCARE 100
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 17, 2012
Last certification
Dec 17, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 6, 1986 in AR
Enrollment address
54 Tate Springs Rd
Arcare 100
Melbourne, AR 72556-8633

Other NPIs on the same Medicare enrollment 49

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

View all 49

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
04D2054839Arcare 10054 Tate Springs Rd, Melbourne, AR 72556Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 24

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 Feb 24, 1989
Christian L Gibson Individual Corporate OfficerCoo Jan 22, 2019
Terry S Hill Individual W-2 Managing EmployeeAsst Medical Director Jan 1, 2012
Marsha a White Individual Corporate DirectorBoard Member Jan 31, 2012
Betty K Thompson Individual Corporate DirectorBoard Member Jan 17, 2022
Arcare Organization, Augusta, AR Corporation, Non-profit Operational/Managerial Control Feb 6, 1986
Rickie Lee Swinney Individual Corporate DirectorBoard Member Jan 17, 2022
Katheron E Palmer Individual Corporate OfficerBoard Member Oct 28, 1991
Aaron Pilkington Individual Operational/Managerial ControlVice President Dec 2, 2019
Doyle W Fowler Individual Corporate OfficerBoard Member Jan 22, 2008
Anthony Nicholson Individual Operational/Managerial ControlVice President Jan 17, 2022
Broderick Eaton Individual Corporate DirectorMedical Director Jan 1, 2024
Martha J Ray Individual Corporate OfficerBoard Member Apr 25, 1989
Ella M Watson Individual Corporate DirectorBoard Member Jan 29, 2013
Clint Shackelford Individual Operational/Managerial ControlCoo Jan 1, 2022
Joey D Miller Individual Corporate OfficerCoo Jun 1, 2002
Janet L Wright Individual Corporate DirectorBoard Member Jan 29, 2013
Talmage J Whitehead Individual Corporate OfficerCfo Sep 1, 2006
Paula R Veazey Individual Corporate DirectorBoard Member Jan 27, 2016
George D Morris Individual Corporate DirectorBoard Member Dec 11, 2019
Patricia a Holloway Individual Corporate OfficerBoard Member Apr 25, 1989
Steven F Collier Individual Corporate OfficerCeo Jun 1, 2002
Ellen H Russell Individual Corporate DirectorBoard Member Jan 22, 2019
Jeremy R Beehn Individual Operational/Managerial ControlCfa 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 34

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 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

Facilities with the same owner 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1831442938",
    "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": "870-347-1235",
            "fax_number": "870-347-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 TATE SPRINGS RD",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725568633",
            "telephone_number": "870-368-5030",
            "fax_number": "870-368-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-347-2534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "194658749",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARcare 100",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARcare 100",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, AR

Sources for this page

Verify at the official NPI Registry.