ARKANSAS CITY COMMUNITY HEALTH CENTER (NPI# 1124363817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124363817 |
Entity Type | Organization |
Organization Name | ARKANSAS CITY COMMUNITY HEALTH CENTER |
Other Organization Name | MAINLINE HEALTH SYSTEMS, INC |
Practice Address |
1008 Sadie Lee Lane Arkansas City AR 71630 |
Practice Telephone | 8708772622 |
Practice Fax Number | 8708772627 |
Mailing Telephone | 8708772622 |
Mailing Fax Number | 8708772627 |
Enumeration Date | 2012-12-06 |
Last Update Date | 2012-12-06 |
Authorized Official Name | TAFTY MCCAIN (CFO) |
Authorized Official Telephone | 8705385414 |
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 |
---|---|
MAINLINE HEALTH SYSTEMS, INC | Doing Business As Name - Organization |
Street Address |
1008 SADIE LEE LANE |
City | ARKANSAS CITY |
State | AR |
Zip Code | 71630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295849503 | Katherine T Fleming | Registered Nurse | Clsh/rrtc, Unit#6 Meadow Lane, Pineville, LA 71630 | 2006-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417515727 | Lakynn Clarice Butler | Physician Assistant | 10247 Quail Ln, Arkansas City, KS 67005-6515 | 2019-06-01 |
1982107926 | Tanya Renea Linares | Doula | 422 S B St, Arkansas City, KS 67005-2724 | 2018-03-15 |
1467857094 | Hcp1oc Alderbrook, LLC | Assisted Living Facility | 402 E Windsor Rd, Arkansas City, KS 67005-3894 | 2014-10-24 |
1710386560 | Andrea Stover | Marriage & Family Therapist | 119 E Chestnut Ave, Suite 6, Arkansas City, KS 67005-2200 | 2014-08-18 |
1285046391 | Jeff Michael Fluty | Specialist/Technologist | 125 S 2nd St, Arkansas City, KS 67005-2662 | 2014-05-22 |
1720498066 | Kenneth D Tyler | Contractor | 33370 61st Road, Arkansas City, KS 67005 | 2014-05-07 |
1902242761 | Ark City Dental | Preferred Provider Organization | 625 North Summit, Arkansas City, KS 67005 | 2013-05-20 |
1346529930 | Joyce Ann Creel | Occupational Therapy Assistant | 2320 N Timber Lane Dr, Arkansas City, KS 67005-9202 | 2011-08-12 |
1275840753 | Price Pharmacies Inc | Pharmacy | 212 S Summit St, Arkansas City, KS 67005-2847 | 2010-09-07 |
1225340524 | Amber Jennings | Psychologist | 1107 N 11th St, Arkansas City, KS 67005-1969 | 2010-07-02 |
Find all providers in ARKANSAS CITY |
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 |
---|---|---|---|---|
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 | ARKANSAS CITY |
Zip Code | 71630 |
Please comment or provide details below to improve the information on ARKANSAS CITY COMMUNITY HEALTH CENTER.
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.