ST FRANCIS HOUSE NWA INC NPI 1669099073

NPI Information

ST FRANCIS HOUSE NWA, INC is a federally qualified health center (fqhc) clinic center in Pea Ridge, AR. ST FRANCIS HOUSE NWA, INC NPI is 1669099073. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Clinic Pea Ridge.

The provider's business location address is:

1923 W PICKENS ROAD
PEA RIDGE, AR
ZIP 72751
Phone: (479) 751-7417
Fax: (479) 751-4898

The provider's authorized official is James Semingson .
The authorized official title is Ceo and has the following contact phone number (479) 751-7417.

The CLIA number assigned to this NPI record is 04D2284561 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/1/2020 and was last updated on 8/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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