1ST CHOICE HEALTHCARE INC (NPI# 1598711152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598711152 |
| Entity Type | Organization |
| Organization Name | 1ST CHOICE HEALTHCARE INC |
| Other Organization Name | 1ST CHOICE HEALTHCARE |
| Practice Address |
201 Colonial Dr Walnut Ridge AR 72476-1410 |
| Mailing Address |
Po Box 83 Corning AR 72422-0083 |
| Practice Telephone | 8708865507 |
| Practice Fax Number | 8708865632 |
| Mailing Telephone | 8708573334 |
| Mailing Fax Number | 8708579934 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-06-29 |
| 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 | AR BCBS PROVIDER NUMBER | 5B451 | 01 |
| AR | 155222749 | 05 |
| Other Name | Type Code |
|---|---|
| 1st Choice Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366498735 | 1st Choice Healthcare Inc | Clinic/Center | 141 Betty Dr, Pocahontas, AR 72455-3602 | 2006-05-26 |
| 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 |
201 COLONIAL DR |
| City | WALNUT RIDGE |
| State | AR |
| Zip Code | 72476-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905465 | Kimberly Ann Slusser | Clinical Nurse Specialist | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2019-07-29 |
| 1124479597 | William Alexander Burns | Nurse Practitioner | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2016-06-28 |
| 1477918738 | Jessica Reagan | Nurse Practitioner | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2015-12-30 |
| 1558636704 | Danna Lea Guntharp | Registered Nurse | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2012-03-20 |
| 1912930967 | Varghese Edattukaren | Family Medicine | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113126 | Lauren Felts | Pharmacist | 1405 W Main Suite B, Walnut Ridge, AR 72476 | 2020-04-16 |
| 1033609995 | Misty Dawn Colvey | Specialist/Technologist | 60 W Fulbright Avenue, Walnut Ridge, AR 72476 | 2018-05-16 |
| 1427570803 | Heartline Home Care LLC | Home Health | 329 West Poplar, Walnut Ridge, AR 72476 | 2017-07-07 |
| 1093246035 | Allyson Claire Smith | Case Manager/Care Coordinator | 1425 W Main, Walnut Ridge, AR 72476 | 2017-03-22 |
| 1780134098 | H4l Ranch, Inc. | Community Based Residential Treatment Facility, Mental Illness | 853 Us 63, Walnut Ridge, AR 72476 | 2016-10-11 |
| 1386023943 | Meghon Lanae Mink | Physical Therapist | 200 South Memorial Drive, Walnut Ridge, AR 72476 | 2015-05-28 |
| 1013308436 | Meaghan Danielle Kingston | Nurse Practitioner | 1045 W Main St Ste C, Walnut Ridge, AR 72476 | 2015-02-06 |
| 1962789826 | Amber Fawn Adams | Family Medicine | 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 | 2011-11-07 |
| 1528348760 | Pamela Wilcoxson | Case Manager/Care Coordinator | 1425 West Main, Walnut Ridge, AR 72476 | 2011-08-19 |
| 1184928764 | Lauara Beth Rhein | Case Manager/Care Coordinator | 1425 West Main Street, Walnut Ridge, AR 72476 | 2010-12-22 |
| Find all providers in zip 72476 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 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 | WALNUT RIDGE |
| Zip Code | 72476 |
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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.