1ST CHOICE HEALTHCARE INC (NPI# 1366498735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366498735 |
Entity Type | Organization |
Organization Name | 1ST CHOICE HEALTHCARE INC |
Other Organization Name | 1ST CHOICE HEALTHCARE |
Practice Address |
141 Betty Dr Pocahontas AR 72455-3602 |
Mailing Address |
Po Box 83 Corning AR 72422-0083 |
Practice Telephone | 8708929949 |
Practice Fax Number | 8708920208 |
Mailing Telephone | 8708573334 |
Mailing Fax Number | 8708579934 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2015-06-29 |
NPI Deactivation Date | 06/09/2006 |
NPI Reactivation Date | 2006-06-09 |
Authorized Official Name | DEBRA L FINLEY (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 8708573334 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 139315749 | 05 | |
MO | 504849605 | 05 | |
AR | AR BCBS PROVIDER NUMBER | 5B451 | 01 |
Other Name | Type Code |
---|---|
1st Choice Healthcare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598711152 | 1st Choice Healthcare Inc | Clinic/Center | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2006-05-25 |
1912431818 | 1st Choice Healthcare Inc | Clinic/Center | 172 Highway 62 W, Salem, AR 72576-8059 | 2017-04-18 |
1730568189 | 1st Choice Healthcare Inc | Clinic/Center | 1 Medical Dr, Paragould, AR 72450-4017 | 2015-05-19 |
1962824672 | 1st Choice Healthcare Inc | Clinic/Center | 308 Highway 62 W, Ash Flat, AR 72513-9415 | 2014-01-15 |
1942256508 | 1st Choice Healthcare Inc | Clinic/Center | 1300 Creason Rd, Corning, AR 72422-1716 | 2006-05-25 |
Street Address |
141 BETTY DR |
City | POCAHONTAS |
State | AR |
Zip Code | 72455-3602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952945883 | Timothy Aaron Bass | Nurse Practitioner | 141 Betty Dr, Pocahontas, AR 72455-3602 | 2019-11-04 |
1679926141 | Amanda Jane Billingsley | Nurse Practitioner | 141 Betty Dr, Pocahontas, AR 72455-3602 | 2016-07-19 |
1457748683 | Navin Mangroo | Family Medicine | 141 Betty Dr, Pocahontas, AR 72455 | 2015-04-26 |
1114289899 | Calixto Cazano | Family Medicine | 141 Betty Dr, Pocahontas, AR 72455-3602 | 2012-06-08 |
1437460615 | Tracey L Frier | Social Worker | 141 Betty Dr, Pocahontas, AR 72455 | 2010-06-23 |
1558485656 | George Randall Guntharp | Family Medicine | 141 Betty Dr, Pocahontas, AR 72455-3602 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
Find all providers in zip 72455 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
Find all providers with the same taxonomy |
City | POCAHONTAS |
Zip Code | 72455 |
Please comment or provide details below to improve the information on 1ST CHOICE HEALTHCARE 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.