BRADLEY COUNTY MEDICAL CENTER RURAL HEALTH CLINIC
NPI 1174044697
Clinic/Center - Rural Health in Warren, AR
About Bradley County Medical Center Rural Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY COUNTY MEDICAL CENTER RURAL HEALTH CLINIC (NPI 1174044697) is a healthcare organization registered as a rural health in Warren, Arkansas and active in the NPI registry since July 2017. The organization holds a CLIA Certificate of Compliance certificate valid through November 20, 2027 and lists Leslie Huitt, Ceo/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley County Medical Center Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Bradley County Medical Center Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 25Maumelle, AR 72113
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 04D0465446
Bradley County Medical Center · Warren, ARFrequently 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 Bradley County Medical Center's NPI number?
The NPI number for Bradley County Medical Center is 1174044697. It was assigned to this organization in the NPPES registry on July 6, 2017. The provider is doing business as Bradley County Medical Center Rural Health Clinic.
Where is Bradley County Medical Center located?
Bradley County Medical Center is located at 304 East Central, Warren, AR 71671. The listed phone number is (870) 226-8636.
What is Bradley County Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Bradley County Medical Center enrolled in Medicare?
Yes. Bradley County Medical Center is registered in the Medicare PECOS enrollment system.
When is Bradley County Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bradley County Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 4 Medicare specialties reassign their Medicare billing to Bradley County Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (18), Nurse Practitioner (4) and General Surgery (2). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bradley County Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0465446) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bradley County Medical Center accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Bradley County Medical Center 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 Bradley County Medical Center was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bradley County Medical Center Rural Health Clinic · NPI 1174044697
Rural Health organization in Warren, Arkansas. Organization record, active in the CMS NPPES registry since July 6, 2017.
## Identity
- **NPI:** 1174044697 (Entity type: Organization)
- **Enumerated:** July 6, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Bradley County Medical Center
- **Organization subpart:** Yes (part of Bradley County Medical Center)
- **Authorized official:** Leslie Huitt, CEO/CFO
## Practice location
- **Address:** 304 EAST CENTRAL, Warren, AR 71671-0000
- **Phone:** (870) 226-8636 · **Fax:** (870) 226-8655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (18), Nurse Practitioner (4), General Surgery (2); 2 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1174044697/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2022
- **Other identifiers:** Medicaid 235139729 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174044697) · Data from the CMS NPPES public registry.