ST FRANCIS HOUSE NWA, INC (NPI# 1013384288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013384288 |
| Entity Type | Organization |
| Organization Name | ST FRANCIS HOUSE NWA, INC |
| Other Organization Name | COMMUNITY CLINIC FAYETTEVILLE MEDICAL |
| Practice Address |
3162 W Martin Luther King Blvd Suites 13 & 14 Fayetteville AR 72704-7684 |
| Mailing Address |
614 E Emma Ave Suite 300 Springdale AR 72764-4634 |
| Practice Telephone | 4799354834 |
| Practice Fax Number | 4797512878 |
| Mailing Telephone | 4797517417 |
| Mailing Fax Number | 4797514898 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | JAMES SEMINGSON (CEO) |
| Authorized Official Telephone | 4797517417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMMUNITY CLINIC FAYETTEVILLE MEDICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1407393465 | St Francis House Nwa, Inc | Physical Therapist | 610a E Emma Avenue, Suite 170, Springdale, AR 72764-4685 | 2017-01-27 |
| 1750667887 | St Francis House Nwa, Inc | Audiologist | 614 E Ast Emma Ave, Suite 300, Springdale, AR 72764-4469 | 2011-11-03 |
| 1740578897 | St Francis House Nwa, Inc | Clinic/Center | 375 N Rupple Rd, Fayetteville, AR 72704-6110 | 2011-07-11 |
| 1023328002 | St Francis House Nwa, Inc | Clinic/Center | 900 South Powell Street, Springdale, AR 72764 | 2010-10-08 |
| 1710424478 | St Francis House Nwa, Inc | Physical Therapist | 1233 West Poplar, Suite 1290, Rogers, AR 72756-4249 | 2017-01-19 |
| 1891181848 | St Francis House Nwa, Inc | Clinic/Center | 420 N West End St, Springdale, AR 72764-3002 | 2015-04-07 |
| 1609272640 | St Francis House Nwa, Inc | Clinic/Center | 2878 Powell St, Springdale, AR 72764-7333 | 2014-11-18 |
| 1053714295 | St Francis House Nwa, Inc | Clinic/Center | 201 E School St, Lincoln, AR 72744-8885 | 2014-10-02 |
| Street Address |
3162 W MARTIN LUTHER KING BLVD SUITES 13 & 14 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-7684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295938967 | Andrea J Rogers | Pediatrics | 3162 W Martin Luther King Blvd, Suites 13 & 14, Fayetteville, AR 72704-7686 | 2007-06-08 |
| 1679082002 | Leslie Noelle Goolsby | Nurse Practitioner | 3162 W Martin Luther King Blvd, Fayetteville, AR 72704-7679 | 2017-09-28 |
| 1356893820 | Fisher Denture & Dental Care | Dentist | 3162 W Martin Luther King Blvd, Ste. 5, Fayetteville, AR 72704-7679 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003301912 | New River Health Association, Inc. | Clinic/Center | 515 W Maple Ave, Fayetteville, WV 25840-1419 | 2018-06-25 |
| 1740578897 | St Francis House Nwa, Inc | Clinic/Center | 375 N Rupple Rd, Fayetteville, AR 72704-6110 | 2011-07-11 |
| 1083134092 | Community Health Interventions, Inc | Clinic/Center | 2409 Murchison Rd, Fayetteville, NC 28301-3519 | 2017-06-21 |
| 1215366216 | Goshen Medical Center, Inc. | Clinic/Center | 3613 Cape Center Dr, Fayetteville, NC 28304-4457 | 2013-11-11 |
| 1821083072 | New River Health Association, Inc | Clinic/Center | 221 W Maple Ave, Fayetteville, WV 25840-1413 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
Please comment or provide details below to improve the information on ST FRANCIS HOUSE NWA, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.