1ST CHOICE HEALTHCARE INC (NPI# 1912431818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912431818 |
Entity Type | Organization |
Organization Name | 1ST CHOICE HEALTHCARE INC |
Other Organization Name | 1ST CHOICE HEALTHCARE SALEM |
Practice Address |
172 Highway 62 W Salem AR 72576-8059 |
Mailing Address |
Po Box 83 Corning AR 72422-0083 |
Practice Telephone | 8708952735 |
Practice Fax Number | 8708952709 |
Mailing Telephone | 8708573334 |
Mailing Fax Number | 8708579934 |
Enumeration Date | 2017-04-18 |
Last Update Date | 2018-10-11 |
Authorized Official Name | BECKY JO WELLS (CREDENTIALING SPECIALIST) |
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 | 220551749 | 05 |
Other Name | Type Code |
---|---|
1st Choice Healthcare Salem | 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 |
1598711152 | 1st Choice Healthcare Inc | Clinic/Center | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2006-05-25 |
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 |
172 HIGHWAY 62 W |
City | SALEM |
State | AR |
Zip Code | 72576-8059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
Find all providers in zip 72576 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1972684710 | Yakima Valley Farm Workers Clinic | Clinic/Center | 3896 Beverly Ave Ne Ste 40 Building J, Salem, OR 97305-1374 | 2006-10-18 |
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1568907673 | Lifespring Inc | Clinic/Center | 1321 S Jackson St, Salem, IN 47167-9730 | 2016-12-28 |
1467995852 | Yakima Valley Farm Workers Clinic | Clinic/Center | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2016-12-02 |
1588910384 | North Shore Community Health, Inc | Clinic/Center | 47 Congress St, Salem, MA 01970-7308 | 2012-07-30 |
1194082867 | Northwest Human Services, Inc. | Clinic/Center | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2012-04-18 |
1821381641 | Community Action Agency of Columbiana County, Inc | Clinic/Center | 2020 E State St, Suite K, Salem, OH 44460-2480 | 2011-05-26 |
1104940493 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 238 E Broadway, Salem, NJ 08079-1108 | 2007-03-19 |
Find all providers in SALEM |
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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.