EAST ARKANSAS FAMILY HEALTH CENTER, INC (NPI# 1215436613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215436613 |
| Entity Type | Organization |
| Organization Name | EAST ARKANSAS FAMILY HEALTH CENTER, INC |
| Other Organization Name | MARVELL-ELAINE SCHOOL BASED HEALTH CENTER |
| Practice Address |
1018 Us 49 Marvell AR 72366 |
| Mailing Address |
900 N 7th St West Memphis AR 72301-2001 |
| Practice Telephone | 8708291194 |
| Mailing Telephone | 8707353842 |
| Mailing Fax Number | 8703944872 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Authorized Official Name | SUSAN WARD-JONES (CEO) |
| Authorized Official Telephone | 8707353842 |
| Authorized Official Credential | MD |
| 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 |
|---|---|
| Marvell-Elaine School Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437638038 | East Arkansas Family Health Center, Inc | Clinic/Center | 1 Patriot Dr, Marion, AR 72364-2408 | 2018-08-14 |
| 1427572213 | East Arkansas Family Health Center, Inc | Clinic/Center | 2000 W. Broadway St. Trlr 1, West Memphis, AR 72301-3829 | 2017-08-02 |
| 1508379249 | East Arkansas Family Health Center, Inc | Clinic/Center | 1008 W Main St, Marvell, AR 72366-9486 | 2017-11-15 |
| 1912370198 | East Arkansas Family Health Center, Inc | Clinic/Center | 216 Arkansas St, Earle, AR 72331-2217 | 2015-11-10 |
| Street Address |
1018 US 49 |
| City | MARVELL |
| State | AR |
| Zip Code | 72366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285861013 | Pillow Clinic, Pllc | Internal Medicine | 1008 Main Street, Marvell, AR 72366 | 2009-06-19 |
| 1952544538 | Pillow Clinic, Pllc | Internal Medicine | 1008 Main St., Marvell, AR 72366 | 2009-04-13 |
| 1396964730 | Marvell Public School | Local Education Agency (LEA) | 203 South Pine Street, Marvell, AR 72366 | 2007-04-24 |
| 1588632582 | Phillips Hospital Corporation | Clinic/Center | 1008 Main St, Marvell, AR 72366 | 2006-03-08 |
| 1295752376 | Marvell Clinic Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 406 S Mill St, Marvel, AR 72366-0217 | 2006-07-16 |
| 1922620483 | East Arkansas Family Health Center Pharmacy No. 3, LLC | Pharmacy | 406 S Mill St, Marvell, AR 72366-7236 | 2020-05-07 |
| 1548741895 | Tracy Lynne Bennett | Nurse Practitioner | 6262 Highway 316 S, Marvell, AR 72366-9439 | 2018-08-24 |
| 1508379249 | East Arkansas Family Health Center, Inc | Clinic/Center | 1008 W Main St, Marvell, AR 72366-9486 | 2017-11-15 |
| 1336642602 | Leigh Elizabeth Gschwend | Occupational Therapy Assistant | 3803 Highway 243 N, Marvell, AR 72366-9746 | 2018-03-13 |
| 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 |
|---|---|---|---|---|
| 1508379249 | East Arkansas Family Health Center, Inc | Clinic/Center | 1008 W Main St, Marvell, AR 72366-9486 | 2017-11-15 |
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|---|---|---|---|---|
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| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
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| 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 |
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| 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.