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INTERFAITH CLINIC
NPI 1568873586
Clinic/Center in El Dorado, AR

Active since May 13, 2014CLIA 04D0960238 · Waiver
815 THOMPSON AVE, EL DORADO, AR 71730(870) 864-8010(870) 875-1897 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Dec 28, 2017 (2 updates tracked since 2017).

About Interfaith Clinic NPPES

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

INTERFAITH CLINIC (NPI 1568873586) is a healthcare organization registered as a clinic/center in El Dorado, Arkansas and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Brian Jones, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1568873586
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFATHER BOB ALLEN CHARITABLE CLINIC
Location Address815 THOMPSON AVEEl Dorado, AR 71730
Mailing Address815 Thompson AveEl Dorado, AR 71730 · (870) 864-8010 · Fax (870) 875-1897
Phone(870) 864-8010
Fax(870) 875-1897
Organization SubpartNo
Authorized OfficialBrian JonesPresident/ceo · (870) 881-9015
Enumeration DateMay 13, 2014
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
✔ NPI 1568873586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
815 THOMPSON AVE, El Dorado, AR 71730
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Other Names 1

Doing Business AsInterfaith Clinic

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 04D0960238

Father Bob Allen Charitable Clinic · El Dorado, AR
Active · expires May 3, 2027
CLIA Number04D0960238
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorMs. Holly Monroe
Laboratory Phone(870) 864-8010
Laboratory LocationFather Bob Allen Charitable Clinic815 Thhompson Ave, El Dorado, AR 71730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOUTH AR SURGICAL CLINIC OF EL DORADO, INC
Specialist
815 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-3411

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 Father Bob Allen Charitable Clinic's NPI number?

The NPI number for Father Bob Allen Charitable Clinic is 1568873586. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as Interfaith Clinic.

Where is Father Bob Allen Charitable Clinic located?

Father Bob Allen Charitable Clinic is located at 815 Thompson Ave, El Dorado, AR 71730. The listed phone number is (870) 864-8010.

What is Father Bob Allen Charitable Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Father Bob Allen Charitable Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0960238) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Father Bob Allen Charitable Clinic was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.