ARC COMMUNITY SERVICES, INC.
NPI 1104417534
Substance Abuse Rehabilitation Facility in Fond Du Lac, WI
About Arc Community Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARC COMMUNITY SERVICES, INC. (NPI 1104417534) is a healthcare organization registered as a substance abuse rehabilitation facility in Fond Du Lac, Wisconsin and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Robin Ryan, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 52D2101451
Arc Community Services, Inc · Madison, WIFrequently 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 Arc Community Services, Inc.'s NPI number?
The NPI number for Arc Community Services, Inc. is 1104417534. It was assigned to this organization in the NPPES registry on January 28, 2021. The provider is also known as ARC Fond du Lac.
Where is Arc Community Services, Inc. located?
Arc Community Services, Inc. is located at 27 East 3rd St., #208, Fond Du Lac, WI 54935. The listed phone number is (920) 907-0460.
What is Arc Community Services, Inc.'s specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Arc Community Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2101451) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Arc Community Services, Inc. was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Arc Community Services, Inc. · NPI 1104417534
Substance Abuse Rehabilitation Facility organization in Fond Du Lac, Wisconsin. Organization record, active in the CMS NPPES registry since January 28, 2021.
## Identity
- **NPI:** 1104417534 (Entity type: Organization)
- **Enumerated:** January 28, 2021
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** ARC Fond du Lac (Other Name)
- **Organization subpart:** Yes (part of Arc Community Services, Inc.)
- **Authorized official:** Robin Ryan, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 27 EAST 3RD ST., #208, Fond Du Lac, WI 54935
- **Phone:** (920) 907-0460
## Record status
- **NPPES last updated:** January 28, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104417534) · Data from the CMS NPPES public registry.