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BMRHC SHIRLEY WELLNESS CENTER
NPI 1285464610
Clinic/Center - Federally Qualified Health Center (FQHC) in Shirley, AR

Active since August 01, 2024CLIA 04D2310364 · Waiver
199 SCHOOL DR, SHIRLEY, AR 72153(870) 448-5733 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Bmrhc Shirley Wellness Center NPPES

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

BMRHC SHIRLEY WELLNESS CENTER (NPI 1285464610) is a healthcare organization registered as a federally qualified health center (fqhc) in Shirley, Arkansas and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Debbie Ackerson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285464610
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Location Address199 SCHOOL DRShirley, AR 72153-7566
Mailing AddressPo Box 1060Marshall, AR 72650-1060 · (870) 448-5733 · Fax (870) 448-3767
Phone(870) 448-5733
Organization SubpartNo
Authorized OfficialDebbie AckersonCeo · (870) 448-5733
Enumeration DateAugust 1, 2024
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1285464610 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
199 SCHOOL DR, Shirley, AR 72153
Open in Google Maps ↗

Other Names 1

Doing Business AsBmrhc Shirley Wellness Center

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

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 04D2310364

Bmrhc Shirley Wellness Cnter · Shirley, AR
Active · expires Sep 2, 2026
CLIA Number04D2310364
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorDr. Larry B. Jennings
Laboratory Phone(844) 722-6742
Laboratory LocationBmrhc Shirley Wellness Cnter199 School Drive, Shirley, AR 72153
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ANGELA GAIL DODD APRN
Nurse Practitioner (Family)
199 SCHOOL DR
SHIRLEY, AR 72153
Van Buren County (844) 722-6742
CHELSEA PENCARINHA ST
Specialist/Technologist (Speech-Language Assistant)
199 SCHOOL DR
SHIRLEY, AR 72153
Van Buren County (501) 723-8193
OZARK HEALTH, INC
Clinic/Center (Rural Health)
199 SCHOOL DR
SHIRLEY, AR 72153
Van Buren County (501) 723-4400

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 1285464610. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is doing business as Bmrhc Shirley Wellness Center.

Where is Boston Mountain Rural Health Center, Inc located?

Boston Mountain Rural Health Center, Inc is located at 199 School Dr, Shirley, AR 72153. The listed phone number is (870) 448-5733.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2310364) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 2 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 September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.