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COMMUNITY CLINIC FAYETTEVILLE MEDICAL
NPI 1013384288
Clinic/Center - Federally Qualified Health Center (FQHC) in Fayetteville, AR

Active since August 24, 2015CLIA Certified · 2 labs
3162 W MARTIN LUTHER KING BLVD, SUITES 13 & 14, FAYETTEVILLE, AR 72704(479) 935-4834(479) 751-2878 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Clinic Fayetteville Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CLINIC FAYETTEVILLE MEDICAL (NPI 1013384288) is a healthcare organization registered as a federally qualified health center (fqhc) in Fayetteville, Arkansas and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates and lists James Semingson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013384288
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST FRANCIS HOUSE NWA, INC
Location Address3162 W MARTIN LUTHER KING BLVD, SUITES 13 & 14Fayetteville, AR 72704-7684
Mailing Address614 E Emma Ave, Suite 300Springdale, AR 72764-4634 · (479) 751-7417 · Fax (479) 751-4898
Phone(479) 935-4834
Fax(479) 751-2878
Organization SubpartNo
Authorized OfficialJames SemingsonCeo · (479) 751-7417
Enumeration DateAugust 24, 2015
Last NPPES UpdateJanuary 15, 2020
✔ NPI 1013384288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3162 W MARTIN LUTHER KING BLVD, Fayetteville, AR 72704
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Clinic Fayetteville Medical

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2099298

Community Clinic Fayetteville Medical · Fayetteville, AR
Active · expires Sep 18, 2026
CLIA Number04D2099298
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorClaire Servy
Laboratory Phone(479) 751-7417
Laboratory LocationCommunity Clinic Fayetteville Medical3162 W Martin Luther King Blvd Ste 13, 14, Fayetteville, AR 72704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2284561

Community Clinic Fayetteville High School · Fayetteville, AR
Active · expires Jun 25, 2027
CLIA Number04D2284561
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorClaire C. Servy
Laboratory Phone(479) 751-7417
Laboratory LocationCommunity Clinic Fayetteville High School235 South Buchanan Ave Suite One, Fayetteville, AR 72701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA J ROGERS MD
Pediatrics
3162 W MARTIN LUTHER KING BLVD, SUITES 13 & 14
FAYETTEVILLE, AR 72704
Washington County (479) 751-7417
FISHER DENTURE & DENTAL CARE
Dentist (General Practice)
3162 W MARTIN LUTHER KING BLVD, STE. 5
FAYETTEVILLE, AR 72704
Washington County (479) 443-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Francis House Nwa, Inc's NPI number?

The NPI number for St Francis House Nwa, Inc is 1013384288. It was assigned to this organization in the NPPES registry on August 24, 2015. The provider is doing business as Community Clinic Fayetteville Medical.

Where is St Francis House Nwa, Inc located?

St Francis House Nwa, Inc is located at 3162 W Martin Luther King Blvd Suites 13 & 14, Fayetteville, AR 72704. The listed phone number is (479) 935-4834.

What is St Francis House Nwa, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does St Francis House Nwa, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St Francis House Nwa, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list St Francis House Nwa, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Francis House Nwa, Inc was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.