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BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
NPI 1174857825
Clinic/Center - Federally Qualified Health Center (FQHC) in Green Forest, AR

Active since September 29, 2009CLIA Certified · 6 labs
1103 WEST MAIN ST, GREEN FOREST, AR 72638(870) 438-6500(870) 438-6615 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 25, 2019, Feb 16, 2016 (2 updates tracked since 2016).

About Boston Mountain Rural Health Center, Inc NPPES

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

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC (NPI 1174857825) is a healthcare organization registered as a federally qualified health center (fqhc) in Green Forest, Arkansas and active in the NPI registry since September 2009. The organization holds 6 active CLIA laboratory certificates and lists Debbie Ackerson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174857825
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Location Address1103 WEST MAIN STGreen Forest, AR 72638-2810
Mailing AddressPo Box 1060Marshall, AR 72650-1060 · (870) 448-5101
Phone(870) 438-6500
Fax(870) 438-6615
Organization SubpartNo
Authorized OfficialDebbie AckersonCeo · (870) 448-5733
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJanuary 25, 20192 updates tracked since enumeration
✔ NPI 1174857825 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
1103 WEST MAIN ST, Green Forest, AR 72638
Open in Google Maps ↗

Other Identifiers 3

Medicaid187063749AR
Other041876AR · Medicare Oscar/ Certification
Other5B477AR · Blue Cross

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 6

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 04D1107657

Boston Mountain Rural Health Clinic - Green Forest · Green Forest, AR
Active · expires Dec 27, 2026
CLIA Number04D1107657
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorLarry B. Jennings
Laboratory Phone(870) 438-6500
Laboratory LocationBoston Mountain Rural Health Clinic - Green Forest1103 West Main Street, Green Forest, AR 72638
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 04D0887822

Boston Mountain Rural Health Center · Marshall, AR
Active · expires Jan 15, 2028
CLIA Number04D0887822
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorLarry J. Jennings
Laboratory Phone(870) 448-5733
Laboratory LocationBoston Mountain Rural Health Center2263 Hwy 65 North, Marshall, AR 72650
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 04D2100550

Boston Mountain Rural Health Center - Jasper · Jasper, AR
Active · expires Aug 17, 2027
CLIA Number04D2100550
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDr. Larry B. Jennings
Laboratory Phone(870) 448-5733
Laboratory LocationBoston Mountain Rural Health Center - Jasper609 W Clark, Jasper, AR 72641
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2286102

Boston Mountain Rural Health Center - Quitman · Quitman, AR
Active · expires Jul 23, 2027
CLIA Number04D2286102
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Larry B. Jennings
Laboratory Phone(870) 448-5733
Laboratory LocationBoston Mountain Rural Health Center - Quitman130 Fourth Street, Quitman, AR 72131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2126570

Boston Mountain Rural Health Center-Nemo Vista · Center Ridge, AR
Active · expires Feb 28, 2027
CLIA Number04D2126570
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Larry B. Jennings
Laboratory Phone(870) 448-5733
Laboratory LocationBoston Mountain Rural Health Center-Nemo Vista1094 Catholic Point Rd, Center Ridge, AR 72027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2124511

Boston Mountain Rural Health Center - Mtn View · Mountain View, AR
Active · expires Jan 18, 2027
CLIA Number04D2124511
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorLarry B. Jennings
Laboratory Phone(870) 448-5733
Laboratory LocationBoston Mountain Rural Health Center - Mtn View316 E Main Street, Mountain View, AR 72560
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MERCEDES ESTES APRN
Nurse Practitioner (Family)
1103 WEST MAIN ST
GREEN FOREST, AR 72638
Carroll County (870) 438-6500

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 Boston Mountain Rural Health Center, Inc's NPI number?

The NPI number for Boston Mountain Rural Health Center, Inc is 1174857825. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Boston Mountain Rural Health Center, Inc located?

Boston Mountain Rural Health Center, Inc is located at 1103 West Main St, Green Forest, AR 72638. The listed phone number is (870) 438-6500.

What is Boston Mountain Rural Health Center, 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 Boston Mountain Rural Health Center, Inc hold CLIA laboratory certificates?

Yes. 6 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 Boston Mountain Rural Health Center, 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 Boston Mountain Rural Health Center, 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 Boston Mountain Rural Health Center, Inc was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.