ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA
NPI 1467095133
Clinic/Center - Rural Health in Arkadelphia, AR

Active since October 24, 2019CLIA 04D0466003 · Certificate of Compliance
2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923(870) 246-8036(870) 246-7164 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arkadelphia Clinic For Children And Young Adults, Pa NPPES

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

ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA (NPI 1467095133) is a healthcare organization registered as a rural health in Arkadelphia, Arkansas and active in the NPI registry since October 2019. The organization holds a CLIA Certificate of Compliance certificate valid through January 11, 2027 and lists Gari M Rucker, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1467095133
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA
Location Address2850 TWIN RIVERS DRArkadelphia, AR 71923-4212
Mailing Address2850 Twin Rivers DrArkadelphia, AR 71923-4212 · (870) 246-8036 · Fax (870) 246-7164
Fax(870) 246-7164
Organization SubpartNo
Authorized OfficialGari M RuckerDelegated Official · (870) 246-8036
Enumeration DateOctober 24, 2019
NPI 1467095133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2850 TWIN RIVERS DR, Arkadelphia, AR 71923

Accepted 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 Compliance 04D0466003

Arkadelphia Clinic For Children & Young Adults · Arkadelphia, AR
Active · expires Jan 11, 2027
CLIA Number04D0466003
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorCarl Wesley W. Kluck
Laboratory Phone(870) 246-8036
Laboratory LocationArkadelphia Clinic For Children & Young Adults2850 Twin Rivers Drive, Arkadelphia, AR 71923
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Pediatrics)
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923
Pediatrics
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923
Nurse Practitioner (Pediatrics)
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923
Pediatrics
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923
Internal Medicine
2850 TWIN RIVERS DR, SUITE 101-A
ARKADELPHIA, AR 71923
Pediatrics
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923
Pediatrics
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923
Pediatrics
2850 TWIN RIVERS DR
ARKADELPHIA, AR 71923

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 Arkadelphia Clinic For Children And Young Adults, PA's NPI number?

The NPI number for Arkadelphia Clinic For Children And Young Adults, PA is 1467095133. It was assigned to this organization in the NPPES registry on October 24, 2019.

Where is Arkadelphia Clinic For Children And Young Adults, PA located?

Arkadelphia Clinic For Children And Young Adults, PA is located at 2850 Twin Rivers Dr, Arkadelphia, AR 71923. The listed phone number is (870) 246-8036.

What is Arkadelphia Clinic For Children And Young Adults, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Arkadelphia Clinic For Children And Young Adults, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0466003) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arkadelphia Clinic For Children And Young Adults, PA 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 Arkadelphia Clinic For Children And Young Adults, PA 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 Arkadelphia Clinic For Children And Young Adults, PA was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.