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BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
NPI 1376631846
Clinic/Center - Federally Qualified Health Center (FQHC) in Clinton, AR

Active since October 10, 2006CLIA 04D0944709 · Waiver
465 MEDICAL CENTER PARKWAY, CLINTON, AR 72031(501) 745-7888 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 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 1376631846) is a healthcare organization registered as a federally qualified health center (fqhc) in Clinton, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Debbie Ackerson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376631846
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Location Address465 MEDICAL CENTER PARKWAYClinton, AR 72031
Mailing AddressPo Box 1060, 400 Highway 27 SouthMarshall, AR 72650-1060 · (870) 448-5733
Phone(501) 745-7888
Organization SubpartNo
Authorized OfficialDebbie AckersonCeo · (870) 448-5733
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1376631846 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
465 MEDICAL CENTER PARKWAY, Clinton, AR 72031
Open in Google Maps ↗

Other Identifiers 3

OtherDA1111AR · Railroad Group Id Medicar
Other5B477AR · Blue Cross Of Arkansas
Medicaid133965749AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Boston Mountain Rural Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Boston Mountain Rural Health Center, Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner37
Clinical Social Worker8
Family Practice8
Obstetrics/Gynecology2
Internal Medicine1
Mental Health Counselor1
Optometry1
Psychiatry1

Nearest to this location (20)

See all 59
Justin Allen, MD
Family Practice
NPI 1083024848
465 MEDICAL CENTER PARKWAY
Clinton, AR 72031
(501) 745-7888
✔ PECOS✔ Accepts MedicareSame address
Lisa Edwards, APRN
Nurse Practitioner
NPI 1437526241
465 MEDICAL CENTER PKWY
Clinton, AR 72031
(501) 745-7888
✔ PECOS✔ Accepts MedicareSame address
Angela Howard, LCSW
Clinical Social Worker
NPI 1053401497
465 MEDICAL CENTER PARKWAY
Clinton, AR 72031
(501) 745-7888
✔ PECOS✔ Accepts MedicareSame address
Lawrence Meyer, MD
Family Practice
NPI 1386633691
465 MEDICAL CENTER PARKWAY
Clinton, AR 72031
(501) 745-7888
✔ PECOS✔ Accepts MedicareSame address
Kayla Speights, APRN
Nurse Practitioner
NPI 1235721259
465 MEDICAL CENTER PARKWAY
Clinton, AR 72031
(501) 745-7888
✔ PECOS✔ Accepts MedicareSame address
Angela Dodd, APRN
Nurse Practitioner
NPI 1144595570
199 SCHOOL DR
Shirley, AR 72153
(844) 722-6742
✔ PECOS✔ Accepts Medicare11 mi
Carolyn Smith, APN
Nurse Practitioner
NPI 1750585063
326 SOUTH SIDE ROAD
Bee Branch, AR 72013
(501) 654-2006
✔ PECOS✔ Accepts Medicare11 mi
Ashley Tallent, APRN, FNP
Nurse Practitioner
NPI 1780297739
1094 CATHOLIC POINT RD
Center Ridge, AR 72027
(501) 893-6197
✔ PECOS✔ Accepts Medicare15 mi
Mikka Fenley, APRN
Nurse Practitioner
NPI 1821690884
130 4TH ST
Quitman, AR 72131
(888) 602-3647
✔ PECOS✔ Accepts Medicare18 mi
Haley Yarbrough, LCSW
Clinical Social Worker
NPI 1053607366
316 HWY 65 NORTH
Marshall, AR 72650
(870) 448-4727
✔ PECOS✔ Accepts Medicare27 mi
Brian Blair, MD
Family Practice
NPI 1407846868
2263 HWY 65 N
Marshall, AR 72650
(870) 448-5733
✔ PECOS✔ Accepts Medicare27 mi
Kelsey Fry, APRN
Nurse Practitioner
NPI 1841082955
2263 HIGHWAY 65 N
Marshall, AR 72650
(870) 448-5733
✔ PECOS✔ Accepts Medicare27 mi
Charles Jackson, M.D.
Family Practice
NPI 1720003247
2263 HWY 65 NORTH
Marshall, AR 72650
(870) 448-5733
✔ PECOS✔ Accepts Medicare27 mi
Ginger Clifton, M.D.
Psychiatry
NPI 1639497134
2263 HWY 65 N
Marshall, AR 72650
(870) 448-5733
✔ PECOS✔ Accepts Medicare27 mi
Neil Langer, MSN, RN, NP-C
Nurse Practitioner
NPI 1538530316
2263 HWY 65 NORTH
Marshall, AR 72650
(870) 448-5733
✔ PECOS✔ Accepts Medicare27 mi
Haleigh Trotter, LCSW
Clinical Social Worker
NPI 1982966701
2263 HWY 65 N
Marshall, AR 72650
(870) 448-5733
✔ PECOS✔ Accepts Medicare27 mi
Summer Beck, LCSW
Mental Health Counselor
NPI 1215543749
308 W MAIN ST
Mountain, AR 72560
(870) 269-2995
✔ PECOS29 mi
Andrew Cole, MD
Obstetrics/Gynecology
NPI 1336111665
2180 ADA AVENUE SUITE 300
Conway, AR 72034
(501) 327-6547
✔ PECOS✔ Accepts Medicare33 mi
David Zimmerman, M.D.
Internal Medicine
NPI 1346772050
934 NORTH GASKILL ST
Huntsville, AR 72740
(479) 738-5500
✔ PECOS✔ Accepts Medicare81 mi
James Dudley, OD
Optometry
NPI 1730139692
4004 E VAN BUREN
Eureka Springs, AR 72632
(479) 363-6196
✔ PECOS✔ Accepts Medicare91 mi
See all 59 clinicians

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 Waiver 04D0944709

Boston Mountain Rural Health Center - Clinton · Clinton, AR
Active · expires Jul 14, 2028
CLIA Number04D0944709
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorDr. Larry B. Jennings
Laboratory Phone(501) 745-7888
Laboratory LocationBoston Mountain Rural Health Center - Clinton465 Medical Center Parkway, Clinton, AR 72031
CLIA data matches this NPI record on: Address Name Phone
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 Boston Mountain Rural Health Center, Inc's NPI number?

The NPI number for Boston Mountain Rural Health Center, Inc is 1376631846. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Boston Mountain Rural Health Center, Inc located?

Boston Mountain Rural Health Center, Inc is located at 465 Medical Center Parkway, Clinton, AR 72031. The listed phone number is (501) 745-7888.

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.

Is Boston Mountain Rural Health Center, Inc enrolled in Medicare?

Yes. Boston Mountain Rural Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Mountain Rural Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 8 Medicare specialties reassign their Medicare billing to Boston Mountain Rural Health Center, Inc. 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 (37), Clinical Social Worker (8) and Family Practice (8). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boston Mountain Rural Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0944709) is associated with this NPI, valid through July 14, 2028. 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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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 28, 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.