CONWAY COUNTY COMMUNITY SERVICE INC. (NPI# 1851903157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851903157 |
| Entity Type | Organization |
| Organization Name | CONWAY COUNTY COMMUNITY SERVICE INC. |
| Practice Address |
1200 W Walnut St Ste B1100 Rogers AR 72756-3562 |
| Mailing Address |
Po Box 679 Morrilton AR 72110-0679 |
| Practice Telephone | 5013544589 |
| Practice Fax Number | 5013545410 |
| Mailing Telephone | 5013544589 |
| Mailing Fax Number | 5013544589 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | ANGELA LYNN WHEAT (PA/CREDENTIALING CLERK) |
| Authorized Official Telephone | 5013544589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Community Service, Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
| 1013142355 | Conway County Community Service Inc. | Community/Behavioral Health | 203 N 4th St, Ozark, AR 72949-2701 | 2009-05-15 |
| 1699909911 | Conway County Community Service Inc. | Community/Behavioral Health | 816 N Creek Dr, Conway, AR 72032-4711 | 2009-05-14 |
| 1871727198 | Conway County Community Service Inc. | Community/Behavioral Health | 1415 S Oswego Ave, Russellville, AR 72802-2646 | 2009-05-14 |
| 1770631467 | Conway County Community Service Inc. | Community/Behavioral Health | 100 S Cherokee St., Morrilton, AR 72110 | 2007-01-08 |
| 1184287088 | Conway County Community Service Inc. | Community/Behavioral Health | 115 W Clinton St, Heber Springs, AR 72543-3135 | 2019-04-16 |
| 1053546176 | Conway County Community Service Inc. | Community/Behavioral Health | 818 N Creek Dr, Conway, AR 72032-4711 | 2009-05-19 |
| 1316172430 | Conway County Community Service Inc. | Community/Behavioral Health | 730 Boston St, Danville, AR 72833 | 2009-05-19 |
| 1134354400 | Conway County Community Service Inc. | Community/Behavioral Health | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2009-05-15 |
| Street Address |
1200 W WALNUT ST STE B1100 |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724251 | Sterling Yard, Inc. | Counselor | 1200 W Walnut St Ste B1100, Rogers, AR 72756-3562 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528363181 | New Heights Church | Community/Behavioral Health | 903 N 47th St, Ste. 103, Rogers, AR 72756-9622 | 2011-01-12 |
| 1124330097 | Alternative Opportunities | Community/Behavioral Health | 1200 W Walnut Street, Suite 3100, Rogers, AR 72756-5315 | 2010-07-08 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1285857417 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | 1140 W Walnut St, Suite 3, Rogers, AR 72756-3544 | 2007-04-10 |
| 1922545029 | Gretta Meeker Counseling Inc | Community/Behavioral Health | 2105 S 54th St Ste 2, Rogers, AR 72758-8191 | 2017-01-26 |
| 1295131779 | Vanda Counseling and Psychological Services | Community/Behavioral Health | 14115 James Rd, Rogers, MN 55374-9468 | 2014-11-11 |
| 1174812408 | Catherine Hubbard Adams, LLC | Community/Behavioral Health | 1601 Rainbow Rd, Rogers, AR 72758-8821 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
| 1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
| 1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
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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.