1. Home
  2. Directory
  3. Arkansas
  4. Amity
  5. Family Medicine
  6. NPI Profile

AMITY COMMUNITY HEALTH CENTER
NPI 1629017405
Family Medicine in Amity, AR

Active since June 06, 2006CLIA 04D0980519 · Certificate of Compliance
329 N HILL ST, AMITY, AR 71921(870) 342-5006(870) 342-5802 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amity Community Health Center NPPES

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

AMITY COMMUNITY HEALTH CENTER (NPI 1629017405) is a healthcare organization registered as a family medicine in Amity, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 20, 2026 and lists Susan Diane Johnston, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1629017405
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCABUN RURAL HEALTH SERVICES, INC
Location Address329 N HILL STAmity, AR 71921-9635
Mailing AddressPo Box 218Amity, AR 71921-0218 · (870) 342-5006 · Fax (870) 342-5802
Phone(870) 342-5006
Fax(870) 342-5802
Organization SubpartYes
Authorized OfficialSusan Diane JohnstonBilling Supervisor · (870) 798-3515
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 9, 2010
✔ NPI 1629017405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
329 N HILL ST, Amity, AR 71921
Open in Google Maps ↗

Other Names 1

Doing Business AsAmity Community Health Center

Other Identifiers 3

Medicaid143650749AR
Medicare OSCAR/certification041843
Medicare PIN57077AR

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 Compliance 04D0980519

Amity Community Health Center · Amity, AR
Active · expires Nov 20, 2026
CLIA Number04D0980519
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorKaren R. Ward
Laboratory Phone(870) 342-5606
Laboratory LocationAmity Community Health Center210 North Main Street, Amity, AR 71921
CLIA data matches this NPI record on: Name
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

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

NICHOLAS WEAVER PA
Physician Assistant (Medical)
329 N HILL ST
AMITY, AR 71921
Clark County (870) 342-5606

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 Cabun Rural Health Services, Inc's NPI number?

The NPI number for Cabun Rural Health Services, Inc is 1629017405. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Amity Community Health Center.

Where is Cabun Rural Health Services, Inc located?

Cabun Rural Health Services, Inc is located at 329 N Hill St, Amity, AR 71921. The listed phone number is (870) 342-5006.

What is Cabun Rural Health Services, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cabun Rural Health Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0980519) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cabun Rural Health Services, Inc was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.