Healthcare Provider Details
I. General information
NPI: 1437436573
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2011
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
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
- Phone: 870-442-2040
- Fax: 870-442-2041
- Phone: 870-347-2534
- Fax: 870-442-2042
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
COLLIER
Title or Position: CEO
Credential: M.D.
Phone: 870-347-2534