Active NPI
Arcare
Doing business as ARcare73
- Federally Qualified Health Center (FQHC)
- Malvern, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ARCARE
- Doing business as
- ARcare73
- Practice address
- 1517 S Main St
Malvern, AR 72104-5231 - Phone
- (501) 601-3233
- Fax
- (501) 601-3235
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Collier, MD
- Title
- Ceo
- Phone
- (870) 347-2534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
1517 S Main St
Malvern, AR 72104-5231
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other names 1
- ARcare73
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231025000252 | AR | Part A Provider - Federally Qualified Health Center (FQHC) | 2567370620 | Practice locations: Malvern, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932880432. Details of each certification follow.
Federally qualified health center certification: CCN 041040
- Legal name
- ARCARE
- Doing business as
- ARCARE73
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 12, 2023
- Last certification
- Sep 12, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Feb 6, 1986 in AR
- Enrollment address
- 1517 S Main St
Malvern, AR 72104-5231
National Provider Directory
National Provider Directory- Tax ID family
- White River Rural Healt
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Floyd H Waymire | Corporate Director | Feb 24, 1998 | |
| Christian L Gibson | Corporate Officer | Jul 22, 2019 | |
| Marsha a White | Corporate Director | Jan 31, 2012 | |
| Betty K Thompson | Corporate Director | Jan 17, 2022 | |
| Rickie Lee Swinney | Corporate Director | Jan 17, 2022 | |
| Katheron E Palmer | Corporate Director | Oct 28, 1991 | |
| Gary Browning | Corporate Director | Jan 24, 2023 | |
| Doyle W Fowler | Corporate Director | Jan 22, 2008 | |
| Broderick Eaton | Corporate Director | Jan 1, 2024 | |
| Martha J Ray | Corporate Director | Apr 25, 1989 | |
| Ella M Watson | Corporate Director | Jan 29, 2013 | |
| Clint Shackelford | Operational/Managerial Control | Jan 1, 2022 | |
| Joey D Miller | Corporate Officer | Jun 1, 2002 | |
| Janet L Wright | Corporate Director | Jan 29, 2013 | |
| Talmage J Whitehead | Corporate Officer | Sep 1, 2006 | |
| George D Morris | Corporate Director | Dec 11, 2018 | |
| Patricia a Holloway | Corporate Director | Apr 25, 1989 | |
| Janice Beard | Corporate Director | Apr 25, 2023 | |
| Steven F Collier | Corporate Officer | Jun 1, 2002 | |
| Ellen H Russell | Corporate Director | Jan 22, 2019 | |
| Jeremy R Beehn | Corporate Officer | Mar 22, 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arcare 25 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 22 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 93 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Kentuckycare21 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 24 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 26 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 29 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 41 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 100 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 46 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 47 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 42 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 48 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 23 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 45 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 88 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 89 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 59 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 87 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Mississippicare 113 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare64 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare120 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare 121 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare131 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Mississippicare129 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare136 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare135 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare124 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare69 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare192 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare138 | Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2002 |
| Arcare141 | Federally qualified health center | Operational/Managerial Control | Feb 28, 2022 |
| Arcare142 | Federally qualified health center | Operational/Managerial Control | Apr 18, 2022 |
| Mississippicare127 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
| Arcare74 | Federally qualified health center | Operational/Managerial Control | Feb 6, 1986 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1932880432",
"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": "870-347-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 S MAIN ST",
"city": "MALVERN",
"state": "AR",
"postal_code": "721045231",
"telephone_number": "501-601-3233",
"fax_number": "501-601-3235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"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_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ARcare73",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Malvern, AR
- Marquel Amos
- Amy Neighbors, LPC, LLC
- Mikayla Anderson, APRN
- Misty Anderson
- Appello Health and Wellness Clinic, LLC
- Arkansas Elder Outreach of Little Rock, Inc. (Encore Healthcare and REhabilitation)
- Arkansas Family Eyecare of Malvern (Justus Vision Center)
- Arkansas Health Group (Baptist Health Family Clinic Malvern)
- Arkansas Health Group (Baptist Health Specialty Clinic Malvern)
- Shanirria Armoster
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.