1ST AID STATION MEDICAL CLINIC LLC
NPI 1477284081
Nurse Practitioner - Family in Beebe, AR

Q: What is 1st Aid Station Medical Clinic LLC's NPI number?

The NPI number for 1st Aid Station Medical Clinic LLC is 1477284081. It was assigned to this organization in the NPPES registry on June 23, 2022.

Q: What is 1st Aid Station Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 23, 2022CLIA 04D2264559 · Waiver

903A ASU BLVD, BEEBE, AR 72012(501) 232-9540(501) 232-9517 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 1st Aid Station Medical Clinic Llc NPPES

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

1ST AID STATION MEDICAL CLINIC LLC (NPI 1477284081) is a healthcare organization registered as a family in Beebe, Arkansas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Deanna Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1477284081

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business Name1ST AID STATION MEDICAL CLINIC LLC

Location Address903A ASU BLVDBeebe, AR 72012-2117

Mailing AddressPo Box 998Beebe, AR 72012-0998 · (501) 733-2402

Phone(501) 232-9540

Fax(501) 232-9517

Organization SubpartNo

Authorized OfficialDeanna RogersOwner · (501) 733-2405

Enumeration DateJune 23, 2022

Last NPPES UpdateJune 3, 2025

NPPES CertifiedJune 3, 2025

✔ NPI 1477284081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

903A ASU BLVD, Beebe, AR 72012

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 04D2264559

1st Aid Station Medical Clinic · Beebe, AR

Active · expires Jul 14, 2028

CLIA Number04D2264559

Laboratory TypeAprn

Certificate Effective DateJuly 15, 2026

Certificate Expiration DateJuly 14, 2028

Laboratory DirectorDeanna L. Rogers

Laboratory Phone(501) 733-2405

Laboratory Location1st Aid Station Medical Clinic1702 W Center Street, Beebe, AR 72012

CLIA data matches this NPI record on: 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 1st Aid Station Medical Clinic LLC's NPI number?

The NPI number for 1st Aid Station Medical Clinic LLC is 1477284081. It was assigned to this organization in the NPPES registry on June 23, 2022.

Where is 1st Aid Station Medical Clinic LLC located?

1st Aid Station Medical Clinic LLC is located at 903A Asu Blvd, Beebe, AR 72012. The listed phone number is (501) 232-9540.

What is 1st Aid Station Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does 1st Aid Station Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2264559) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 1st Aid Station Medical Clinic LLC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.