Healthcare Provider Details
I. General information
NPI: 1548817042
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2019
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
138 SCHOOL RD
ROSE BUD AR
72137-9339
US
IV. Provider business mailing address
PO BOX 497
AUGUSTA AR
72006-0497
US
V. Phone/Fax
- Phone: 501-556-4344
- Fax: 501-556-4347
- Phone: 870-347-2534
- Fax: 870-347-1235
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:
STEVEN
COLLIER
Title or Position: CEO
Credential: MD
Phone: 870-347-3300