MARVELL-ELAINE SCHOOL BASED HEALTH CENTER
NPI 1215436613
Clinic/Center - Federally Qualified Health Center (FQHC) in Marvell, AR

Active since February 12, 2018CLIA 04D2141159 · Waiver

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2020, Feb 12, 2018 (2 updates tracked since 2018).

About Marvell-elaine School Based Health Center NPPES

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

MARVELL-ELAINE SCHOOL BASED HEALTH CENTER (NPI 1215436613) is a healthcare organization registered as a federally qualified health center (fqhc) in Marvell, Arkansas and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Susan Ward-jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215436613
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST ARKANSAS FAMILY HEALTH CENTER, INC
Location Address1018 US 49Marvell, AR 72366
Mailing Address900 N 7th StWest Memphis, AR 72301-2001 · (870) 735-3842 · Fax (870) 394-4872
Organization SubpartNo
Authorized OfficialSusan Ward-jonesCeo · (870) 735-3842
Enumeration DateFebruary 12, 2018
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1215436613 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
1018 US 49, Marvell, AR 72366

Other Names 1

Doing Business AsMarvell-elaine School Based Health Center

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 04D2141159

East Arkansas Family Health Center-Marvell · Marvell, AR
Active · expires Dec 7, 2027
CLIA Number04D2141159
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorDr. Susan Ward-Jones
Laboratory Phone(870) 733-6376
Laboratory LocationEast Arkansas Family Health Center-Marvell1008 West Main Street, Marvell, AR 72366
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 East Arkansas Family Health Center, Inc's NPI number?

The NPI number for East Arkansas Family Health Center, Inc is 1215436613. It was assigned to this organization in the NPPES registry on February 12, 2018. The provider is doing business as Marvell-Elaine School Based Health Center.

Where is East Arkansas Family Health Center, Inc located?

East Arkansas Family Health Center, Inc is located at 1018 Us 49, Marvell, AR 72366. The listed phone number is (870) 829-1194.

What is East Arkansas Family 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 East Arkansas Family Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2141159) is associated with this NPI, valid through December 7, 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 East Arkansas Family Health Center, Inc was last updated on November 18, 2020. 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.