Provider Demographics
NPI:1871554576
Name:ARCARE
Entity type:Organization
Organization Name:ARCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-347-2534
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-256-4178
Mailing Address - Fax:870-256-4179
Practice Address - Street 1:1503 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DES ARC
Practice Address - State:AR
Practice Address - Zip Code:72040-3299
Practice Address - Country:US
Practice Address - Phone:870-256-4178
Practice Address - Fax:870-256-4179
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-31
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR122566749Medicaid
ARCN2572Medicare PIN
AR122566749Medicaid
AR57297Medicare PIN