LAKEVIEW SATELLITE CLINIC
NPI 1356359442
Clinic/Center - Federally Qualified Health Center (FQHC) in Wabash, AR

Active since August 04, 2006
14264 HIGHWAY 44, WABASH, AR 72389(870) 295-5225(870) 295-6900 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Lakeview Satellite Clinic NPPES

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

LAKEVIEW SATELLITE CLINIC (NPI 1356359442) is a healthcare organization registered as a federally qualified health center (fqhc) in Wabash, Arkansas and active in the NPI registry since August 2006. The organization lists Ossie M Hall, Cashier/billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1356359442
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE COUNTY COOPERATIVE CLINIC
Location Address14264 HIGHWAY 44Wabash, AR 72389
Mailing AddressPo Box 669Marianna, AR 72360-0669 · (870) 295-5225 · Fax (870) 295-6900
Fax(870) 295-6900
Organization SubpartNo
Authorized OfficialOssie M HallCashier/billing Supervisor · (870) 295-5225
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1356359442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
14264 HIGHWAY 44, Wabash, AR 72389

Other Names 1

Doing Business AsLakeview Satellite Clinic

Other Identifiers 1

Medicaid125274749AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeview Satellite Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Lakeview Satellite Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Internal Medicine
NPI 1659474161
810 NEWMAN DR # A
Helena, AR 72342
(870) 338-7441
✔ PECOS11 mi
Family Practice
NPI 1851403422
558 ATKINS BLVD
Marianna, AR 72360
(870) 295-5225
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1730479668
558 ATKINS BLVD
Marianna, AR 72360
(870) 298-4258
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1134257967
530 ATKINS BLVD
Marianna, AR 72360
(870) 295-5225
✔ PECOS24 mi
Family Practice
NPI 1245491380
530 ATKINS BLVD
Marianna, AR 72360
(870) 295-5225
✔ PECOS24 mi
Dentist
NPI 1447863147
530 ATKINS BLVD
Marianna, AR 72360
(501) 295-5225
✔ PECOS24 mi
Nurse Practitioner
NPI 1457930497
558 ATKINS BLVD
Marianna, AR 72360
(870) 298-4258
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1033765490
350 SALEM RD STE 1
Conway, AR 72034
(479) 518-4977
✔ PECOS✔ Accepts Medicare106 mi
Nurse Practitioner
NPI 1871122457
60 GREERS FERRY RD
Drasco, AR 72530
(870) 262-1200
✔ PECOS✔ Accepts Medicare107 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lee County Cooperative Clinic's NPI number?

The NPI number for Lee County Cooperative Clinic is 1356359442. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Lakeview Satellite Clinic.

Where is Lee County Cooperative Clinic located?

Lee County Cooperative Clinic is located at 14264 Highway 44, Wabash, AR 72389. The listed phone number is (870) 295-5225.

What is Lee County Cooperative Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Lee County Cooperative Clinic enrolled in Medicare?

Yes. Lee County Cooperative Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lee County Cooperative Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Lee County Cooperative Clinic. 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 Nurse Practitioner (5), Family Practice (2) and Dentist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lee County Cooperative Clinic 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 Lee County Cooperative Clinic 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 Lee County Cooperative Clinic was last updated on March 2, 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.