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EARLE FAMILY HEALTH CENTER
NPI 1649704156
Dentist - General Practice in Earle, AR

Active since April 12, 2017CLIA 04D2104618 · Waiver
216 ARKANSAS ST, EARLE, AR 72331(870) 792-7676(870) 792-7605 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2020, Apr 13, 2017 (2 updates tracked since 2017).

About Earle Family Health Center NPPES

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

EARLE FAMILY HEALTH CENTER (NPI 1649704156) is a healthcare organization registered as a general practice in Earle, Arkansas and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Consandra Johnson, Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1649704156
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAST ARKANSAS FAMILY HEALTH CENTER, INC.
Location Address216 ARKANSAS STEarle, AR 72331-2217
Mailing Address900 N 7th StWest Memphis, AR 72301-2001 · (870) 735-3846 · Fax (870) 394-4817
Phone(870) 792-7676
Fax(870) 792-7605
Organization SubpartNo
Authorized OfficialConsandra JohnsonBilling Clerk · (870) 733-6389
Enumeration DateApril 12, 2017
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1649704156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3720
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

216 ARKANSAS ST, Earle, AR 72331
Open in Google Maps ↗

Other Names 1

Doing Business AsEarle Family Health Center

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 04D2104618

Earle Family Health Center · Earle, AR
Active · expires Jun 4, 2027
CLIA Number04D2104618
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. Susan Wardjones
Laboratory Phone(870) 733-6376
Laboratory LocationEarle Family Health Center216 Arkansas St, Earle, AR 72331
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EAST ARKANSAS FAMILY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
216 ARKANSAS ST
EARLE, AR 72331
Crittenden County (870) 735-3842
LAKISHA A MCDANIEL FNP
Nurse Practitioner (Family)
216 ARKANSAS ST
EARLE, AR 72331
Crittenden County (870) 792-7676
ELLEN L SPEAK APN
Nurse Practitioner
216 ARKANSAS ST
EARLE, AR 72331
Crittenden County (870) 792-7676

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 East Arkansas Family Health Center, Inc.'s NPI number?

The NPI number for East Arkansas Family Health Center, Inc. is 1649704156. It was assigned to this organization in the NPPES registry on April 12, 2017. The provider is doing business as Earle Family Health Center.

Where is East Arkansas Family Health Center, Inc. located?

East Arkansas Family Health Center, Inc. is located at 216 Arkansas St, Earle, AR 72331. The listed phone number is (870) 792-7676.

What is East Arkansas Family Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does East Arkansas Family Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2104618) is associated with this NPI, valid through June 4, 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 East Arkansas Family Health Center, Inc. was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.