Healthcare Provider Details
I. General information
NPI: 1710465190
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2018
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3150 E. HERITAGE PARKWAY
FARMINGTON AR
72753
US
IV. Provider business mailing address
117 S 2ND ST
AUGUSTA AR
72006-2309
US
V. Phone/Fax
- Phone: 479-400-1140
- Fax: 479-400-1151
- Phone: 870-347-2508
- Fax:
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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
COLLIER
Title or Position: CEO
Credential:
Phone: 870-347-3300