| St Francis House Nwa, Inc | |
|
245 School Ave Ste A West Fork AR 72774-3124 | |
| (479) 751-7417 | |
| (479) 751-4898 |
| Full Name | St Francis House Nwa, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 245 School Ave Ste A, West Fork, Arkansas |
| Authorized Official Name and Position | James A Semingson (CEO) |
| Authorized Official Contact | 4797517417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Francis House Nwa, Inc 614 E Emma Ave Ste 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | St Francis House Nwa, Inc 245 School Ave Ste A West Fork AR 72774-3124 Ph: (479) 751-7417 |
| NPI Number | 1336986785 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 0042262495 |
|---|---|
| Medicare Enrollment ID | O20220527002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336986785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Michael Davis Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255398897 PECOS PAC ID: 9234021429 Enrollment ID: I20040324001722 |
| Provider Name | Angela Fangmeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861475147 PECOS PAC ID: 3375518517 Enrollment ID: I20040831000785 |
| Provider Name | Mitchell J. Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856909 PECOS PAC ID: 8123003845 Enrollment ID: I20040909001385 |
| Provider Name | John E Caswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336198365 PECOS PAC ID: 5698713261 Enrollment ID: I20050422001192 |
| Provider Name | Mervin Leader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255522611 PECOS PAC ID: 8729175583 Enrollment ID: I20071026000338 |
| Provider Name | Catherine E Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861482739 PECOS PAC ID: 1254315369 Enrollment ID: I20100309000670 |
| Provider Name | Roger W Youmans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568414704 PECOS PAC ID: 5597860593 Enrollment ID: I20100805000095 |
| Provider Name | Scott G Stinnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548210172 PECOS PAC ID: 3577668573 Enrollment ID: I20100805001184 |
| Provider Name | Daniel A Pummill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851341218 PECOS PAC ID: 3870698871 Enrollment ID: I20110304000454 |
| Provider Name | Lora M Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154371524 PECOS PAC ID: 1557255429 Enrollment ID: I20110609000681 |
| Provider Name | Ezra L Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851617757 PECOS PAC ID: 4880826585 Enrollment ID: I20141015000558 |
| Provider Name | Diana J Holte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114319605 PECOS PAC ID: 2860719341 Enrollment ID: I20150326000475 |
| Provider Name | Gary Browning Berner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659639664 PECOS PAC ID: 5991022816 Enrollment ID: I20161004000823 |
| Provider Name | Rex Lee Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861804627 PECOS PAC ID: 9032427562 Enrollment ID: I20170630000616 |
| Provider Name | Stacy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745334 PECOS PAC ID: 0042554545 Enrollment ID: I20181212001103 |
| Provider Name | Evelene Grace Bible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780337 PECOS PAC ID: 5698180099 Enrollment ID: I20210217001569 |
| Provider Name | Meghann R Whatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134713027 PECOS PAC ID: 6305253733 Enrollment ID: I20210331000067 |
| Provider Name | Raymon G Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497163356 PECOS PAC ID: 9931517133 Enrollment ID: I20210427001987 |
| Provider Name | Kaylee M Armendariz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033788195 PECOS PAC ID: 9739581505 Enrollment ID: I20210715003602 |
| Provider Name | Jordyn Elizabeth Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346804812 PECOS PAC ID: 7517370851 Enrollment ID: I20220714003629 |
| Provider Name | Christopher Patrick Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288640 PECOS PAC ID: 8527380336 Enrollment ID: I20220720002651 |
| Provider Name | Abbygail Middleton Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972207264 PECOS PAC ID: 4981066081 Enrollment ID: I20230821002436 |
| Provider Name | Kindal D Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477321917 PECOS PAC ID: 2365892437 Enrollment ID: I20240102002564 |
| Provider Name | Tracy L Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174070205 PECOS PAC ID: 9537065933 Enrollment ID: I20240123000285 |
| Provider Name | Alexandra M Wise-ehlers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417418484 PECOS PAC ID: 5890020390 Enrollment ID: I20240705000240 |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 451 Phillips St, West Fork, AR 72774 Phone: 479-294-6085 Fax: 870-895-2164 |