CONWAY COUNTY COMMUNITY SERVICE INC. (NPI# 1851903884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851903884 |
| Entity Type | Organization |
| Organization Name | CONWAY COUNTY COMMUNITY SERVICE INC. |
| Practice Address |
616 E. Emma Avenue Suite 244 Springdale AR 72764 |
| Mailing Address |
Po Box 679 Morrilton AR 72110-0679 |
| Practice Telephone | 5013544589 |
| Practice Fax Number | 5013545410 |
| Mailing Telephone | 5013544589 |
| Mailing Fax Number | 5013545410 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1851903157 | Conway County Community Service Inc. | Community/Behavioral Health | 1200 W Walnut St Ste B1100, Rogers, AR 72756-3562 | 2020-08-18 |
| 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 |
616 E. EMMA AVENUE SUITE 244 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| 1447557079 | Huntington Clinic Pa | Chiropractor | 700 West Sunset, Springdale, AR 72764 | 2011-02-17 |
| Find all providers in zip 72764 | ||||
| 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 |
|---|---|---|---|---|
| 1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
| 1437557899 | Springdale Treatment Center | Community/Behavioral Health | 1353 E Henri De Tonti Blvd Ste A, Springdale, AR 72762-7805 | 2014-12-16 |
| 1851585806 | Ena, Inc. | Community/Behavioral Health | 11490 Springfield Pike, Springdale, OH 45246-3524 | 2007-09-04 |
| 1952470528 | Dayspring Services of Arkansas L.L.C. | Community/Behavioral Health | 5537 Bleaux Ave, Springdale, AR 72762-0737 | 2006-11-07 |
| 1164503579 | Monson Counseling Pllc | Community/Behavioral Health | 6801 Isaacs Orchard Rd, Springdale, AR 72762-6545 | 2006-10-18 |
| 1942676671 | The Gibbs Group, LLC | Community/Behavioral Health | 260 Northland Blvd, Suite 305a, Springdale, OH 45246-4917 | 2015-08-17 |
| 1609002005 | Preferred Family Healthcare Inc | Community/Behavioral Health | 750 Mathias Dr, Springdale, AR 72762-0741 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1528549417 | Bright Horizons Counseling | Community/Behavioral Health | 807 S 24th St, Arkadelphia, AR 71923-5627 | 2018-08-28 |
| 1568943140 | Real Development Corporation | Community/Behavioral Health | 1310 W Main St Ste 201, Russellville, AR 72801-2803 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.