Healthcare Provider Details

I. General information

NPI: 1669765038
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E COURT ST
BARDWELL KY
42023-8483
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 270-628-9999
  • Fax: 270-628-3334
Mailing address:
  • Phone: 870-347-2534
  • Fax: 870-347-3496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number900245
License Number StateKY

VIII. Authorized Official

Name: MR. STEVEN F COLLIER
Title or Position: CEO
Credential: MD
Phone: 870-347-2534