Provider Demographics
NPI:1497716062
Name:ARCARE
Entity Type:Organization
Organization Name:ARCARE
Other - Org Name:ARCARE 10
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-347-2534
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:870-347-5556
Practice Address - Street 1:400 HIGHWAY 64 E
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:AR
Practice Address - Zip Code:72006-5150
Practice Address - Country:US
Practice Address - Phone:870-347-3350
Practice Address - Fax:870-347-5556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-31
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR117581749Medicaid
AR57297Medicare PIN
AR117581749Medicaid
ARCN2572Medicare PIN