Healthcare Provider Details

I. General information

NPI: 1942579594
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2011
Last Update Date: 12/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2624 HWY 42
CHERRY VALLEY AR
72324-8674
US

IV. Provider business mailing address

623 N 9TH ST PO BOX 497
AUGUSTA AR
72006-2129
US

V. Phone/Fax

Practice location:
  • Phone: 870-442-2040
  • Fax: 870-442-2042
Mailing address:
  • Phone: 870-347-2534
  • Fax: 870-347-3492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateAR

VIII. Authorized Official

Name: DR. STEVEN F COLLIER
Title or Position: CEO
Credential: M.D.
Phone: 870-347-2534