SPRING RIVER CLINIC, LLC
NPI 1598356982
Clinic/Center - Primary Care in Imboden, AR
About Spring River Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPRING RIVER CLINIC, LLC (NPI 1598356982) is a healthcare organization registered as a primary care in Imboden, Arkansas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Jefferydon Lee Coon, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Spring River Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Spring River Clinic, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 04D2220551
Spring River Clinic, LLC · Imboden, ARFrequently 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 Spring River Clinic, LLC's NPI number?
The NPI number for Spring River Clinic, LLC is 1598356982. It was assigned to this organization in the NPPES registry on January 29, 2021.
Where is Spring River Clinic, LLC located?
Spring River Clinic, LLC is located at 201 N Walnut St, Imboden, AR 72434. The listed phone number is (423) 534-4917.
What is Spring River Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Spring River Clinic, LLC enrolled in Medicare?
Yes. Spring River Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spring River Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Spring River Clinic, LLC, in Internal Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Spring River Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2220551) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Spring River Clinic, LLC 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 Spring River Clinic, LLC 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 Spring River Clinic, LLC was last updated on January 29, 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.
# Spring River Clinic, Llc · NPI 1598356982
Primary Care organization in Imboden, Arkansas. Organization record, active in the CMS NPPES registry since January 29, 2021.
## Identity
- **NPI:** 1598356982 (Entity type: Organization)
- **Enumerated:** January 29, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jefferydon Coon, MANAGER
## Practice location
- **Address:** 201 N WALNUT ST, Imboden, AR 72434-9160
- **Phone:** (423) 534-4917
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598356982) · Data from the CMS NPPES public registry.