Cabun Rural Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Hampton, AR
NPI 1912946807 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1912946807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CABUN RURAL HEALTH SERVICES, INC.
- Practice address
- 402 Lee St
Hampton, AR 71744-8937 - Phone
- (870) 798-4299
- Fax
- (870) 798-4100
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Diane Johnston, LPN LRT RMC
- Title
- Billing Supervisor
- Phone
- (870) 798-3515
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 8
Practitioners 16
-
Robert Todd Pennington, FNP-C
-
Rhonda Seat, APRN
-
Cindy Dian Cook, APRN
-
Eve Covas, MD
-
Lisa Lanette Jackson, APN
-
James E Moore Jr., DDS PA
-
Kristin Price, APRN
-
Christi Deann Proffitt, APRN
-
Sherri Lee Diamond, M.D.
-
Robert Allen Floss, M.D.
-
Andrea Lee York, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Federally qualified health center certification: CCN 041824
- Legal name
- CABUN RURAL HEALTH SERVICES, INC
- Doing business as
- CABUN CLINIC
- 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
- Jan 1, 1978 in AR
- Enrollment address
- 402 S Lee Street
Hampton, AR 71744-1196
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Jeanne D Bender |
Corporate Director |
Apr 1, 2009 | |
| Shirley F Strickland |
Corporate Officer |
Aug 1, 2002 | |
| Corporate Director |
May 27, 2014 | ||
| W-2 Managing Employee |
Aug 1, 2002 | ||
| Melanie J Sheppard |
Corporate Officer |
Apr 1, 2009 | |
| Operational/Managerial Control |
Oct 17, 2016 | ||
| Susan D Johnston |
Corporate Officer |
Oct 1, 2009 | |
| W-2 Managing Employee |
Oct 1, 2009 | ||
| Operational/Managerial Control |
Oct 17, 2016 | ||
| James C Rawls |
Corporate Director |
Nov 30, 2009 | |
| Sandra J Gaskin |
Corporate Director |
Apr 1, 1995 | |
| Tracy L Madlock |
Corporate Officer |
Oct 17, 2016 | |
| W-2 Managing Employee |
Oct 17, 2016 | ||
| Operational/Managerial Control |
Oct 17, 2016 | ||
| Kristie a May |
Corporate Director |
Oct 1, 2002 | |
| Lenora a Davidson-McGoogan |
Corporate Director |
Sep 1, 2005 | |
| Donald R Cain |
Corporate Director |
Apr 1, 1999 | |
| Travis J McNiel |
Corporate Director |
Apr 1, 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 Practice locations: Hampton, AR; Strong, AR; Lewisville, AR; Hope, AR; Bearden, AR; Amity, AR |
| O20111215000464 | AR | Part a Provider - Federally Qualified Health Center (FQHC) | 9133029234 | Practice locations: Hampton, AR |
National Provider Directory
- Tax ID family
- Cabun Clinic
Locations
601 Martin Luther King Ave
El Dorado, AR 71730
Phone (501) 529-3799
205 Smith Rd
Ste D
Hope, AR 71801
Phone (870) 777-8420
200 E 18th St
Hope, AR 71801
Phone (870) 722-2733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
402 Lee St
Hampton, AR 71744-8937
Mailing address
PO Box 851
Hampton, AR 71744-0851
Phone (870) 798-4299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117567749 | Medicaid | AR |
Other providers in Hampton, AR
- Kristina Ables
- Cabun Rural Health Services, Inc
- Calhoun County Pharmacy LLC
- Donna Marie Carter
- County of Calhoun County Judge
- Robert Allen Floss
- Charlyn Sue Hackett
All providers in Hampton, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.