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NPI Code Detail

MEDICARE: FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS

MEDICARE: FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2101YP2500XProfessional Counselor
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164302444
Entity Type Code : Organization
Provider Name (Legal Business Name) : FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS
Provider Business Mailing Address
First Line : 1051 W PLEASANT GROVE RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-8052
Country : US
Telephone Number : 479-659-3657
Fax Number :
Provider Business Practice Location Address
First Line : 1051 W PLEASANT GROVE RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-8052
Country : US
Telephone Number : 479-659-3657
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : RODNEY HOLMSTROM
Credential :
Telephone Number : 479-659-3657
Provider Enumeration Date : 09/05/2025
Last Update Date : 03/04/2026

Similar Medicare Providers

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Practice Location Address:
1051 W PLEASANT GROVE RD
ROGERS, AR
72758-8052
Practice Phone: 479-659-3657
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Practice Location Address:
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72758-8052
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1013764588 — MADISON SMITH M.S., L.A.C
Practice Location Address:
1051 W PLEASANT GROVE RD
ROGERS, AR
72758-8052
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Practice Fax:
1013713130 — DAVID DEPEW LPC
Practice Location Address:
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ROGERS, AR
72758-8052
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1982573291 — CAREY OSTER
Practice Location Address:
1051 W PLEASANT GROVE RD
ROGERS, AR
72758-8052
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Practice Fax:

Directions to “FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS ” Practice Location

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