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COMMUNITY CLINIC PEA RIDGE
NPI 1669099073
Clinic/Center - Federally Qualified Health Center (FQHC) in Pea Ridge, AR

Active since July 01, 2020CLIA 04D1080274 · Certificate of Compliance
1923 W PICKENS ROAD, PEA RIDGE, AR 72751(479) 751-7417(479) 751-4898 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2020, Jul 1, 2020 (2 updates tracked since 2020).

About Community Clinic Pea Ridge NPPES

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

COMMUNITY CLINIC PEA RIDGE (NPI 1669099073) is a healthcare organization registered as a federally qualified health center (fqhc) in Pea Ridge, Arkansas and active in the NPI registry since July 2020. The organization holds a CLIA Certificate of Compliance certificate valid through February 13, 2027 and lists James Semingson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669099073
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST FRANCIS HOUSE NWA, INC
Location Address1923 W PICKENS ROADPea Ridge, AR 72751
Mailing Address614 E Emma Ave Ste 300Springdale, AR 72764-4469 · (479) 751-7417
Phone(479) 751-7417
Fax(479) 751-4898
Organization SubpartNo
Authorized OfficialJames SemingsonCeo · (479) 751-7417
Enumeration DateJuly 1, 2020
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1669099073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1923 W PICKENS ROAD, Pea Ridge, AR 72751
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Other Names 1

Doing Business AsCommunity Clinic Pea Ridge

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 04D1080274

Community Clinic - Rogers Medical · Rogers, AR
Active · expires Feb 13, 2027
CLIA Number04D1080274
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorWilliam E. West Jr
Laboratory Phone(479) 751-7417
Laboratory LocationCommunity Clinic - Rogers Medical1233 W Poplar, Rogers, AR 72756
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2190190

Community Clinic Pea Ridge · Pea Ridge, AR
Expired · Aug 10, 2026
CLIA Number04D2190190
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorDr. Sheldon Riklon
Laboratory Phone(479) 751-7417
Laboratory LocationCommunity Clinic Pea Ridge1923 W Pickens Road, Pea Ridge, AR 72751
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 St Francis House Nwa, Inc's NPI number?

The NPI number for St Francis House Nwa, Inc is 1669099073. It was assigned to this organization in the NPPES registry on July 1, 2020. The provider is doing business as Community Clinic Pea Ridge.

Where is St Francis House Nwa, Inc located?

St Francis House Nwa, Inc is located at 1923 W Pickens Road, Pea Ridge, AR 72751. The listed phone number is (479) 751-7417.

What is St Francis House Nwa, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does St Francis House Nwa, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D1080274) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Francis House Nwa, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list St Francis House Nwa, Inc 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 St Francis House Nwa, Inc was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.