SOUTH ARKANSAS REGIONAL HEALTH CENTER CAMDEN CLINIC
NPI 1710199815
Clinic/Center - Mental Health (Including Community Mental Health Center) in Camden, AR

Active since May 03, 2007
211 JACKSON ST SW, CAMDEN, AR 71701(870) 836-5743(870) 836-6924 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Arkansas Regional Health Center Camden Clinic NPPES

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

SOUTH ARKANSAS REGIONAL HEALTH CENTER CAMDEN CLINIC (NPI 1710199815) is a healthcare organization registered as a mental health (including community mental health center) in Camden, Arkansas and active in the NPI registry since May 2007. The organization lists William C Peel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710199815
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTH ARKANSAS REGIONAL HEALTH CENTER CAMDEN CLINIC
Location Address211 JACKSON ST SWCamden, AR 71701-3941
Mailing Address715 N College AveEl Dorado, AR 71730-4403 · (870) 862-7921 · Fax (870) 864-2490
Fax(870) 836-6924
Organization SubpartYesParent: South Arkansas Regional Health Center
Authorized OfficialWilliam C PeelExecutive Director · (870) 862-7921
Enumeration DateMay 3, 2007
Last NPPES UpdateNovember 14, 2008
NPI 1710199815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
211 JACKSON ST SW, Camden, AR 71701

Other Identifiers 1

Medicaid137447726AR

Accepted Insurance

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 04D1073689

South Arkansas Surgery Center The El Dorado Ar Multi-Specialty ASC, LLC · El Dorado, AR
Active · expires Sep 12, 2027
CLIA Number04D1073689
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorKenneth G. Gati MD
Laboratory Phone(870) 864-6696
Laboratory LocationSouth Arkansas Surgery Center The El Dorado Ar Multi-Specialty ASC, LLC2704 Vine Street, El Dorado, AR 71730
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
211 JACKSON ST SW
CAMDEN, AR 71701
Psychologist
211 JACKSON ST SW
CAMDEN, AR 71701
Social Worker (Clinical)
211 JACKSON ST SW
CAMDEN, AR 71701
Counselor (Mental Health)
211 JACKSON ST SW
CAMDEN, AR 71701
Counselor (Professional)
211 JACKSON ST SW
CAMDEN, AR 71701
Case Manager/Care Coordinator
211 JACKSON ST SW
CAMDEN, AR 71701
Case Manager/Care Coordinator
211 JACKSON ST SW
CAMDEN, AR 71701
Licensed Practical Nurse
211 JACKSON ST SW
CAMDEN, AR 71701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710199815, enumerated as an "organization" on May 03, 2007.

The provider is located at 211 JACKSON ST SW CAMDEN, AR 71701 and the phone number is (870) 836-5743.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.