ALTHEIMER CENTER
NPI 1730385105
Clinic/Center - Federally Qualified Health Center (FQHC) in Altheimer, AR
About Altheimer Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTHEIMER CENTER (NPI 1730385105) is a healthcare organization registered as a federally qualified health center (fqhc) in Altheimer, Arkansas and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through August 20, 2027 and lists Larnell W Davis, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Altheimer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Altheimer Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 22Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 04D0466080
Altheimer Clinic · Altheimer, 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 Jefferson Comprehensive Care System, Inc's NPI number?
The NPI number for Jefferson Comprehensive Care System, Inc is 1730385105. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Altheimer Center.
Where is Jefferson Comprehensive Care System, Inc located?
Jefferson Comprehensive Care System, Inc is located at 309 S Edline, Altheimer, AR 72004. The listed phone number is (870) 766-8411.
What is Jefferson Comprehensive Care System, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Jefferson Comprehensive Care System, Inc enrolled in Medicare?
Yes. Jefferson Comprehensive Care System, Inc is registered in the Medicare PECOS enrollment system.
When is Jefferson Comprehensive Care System, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jefferson Comprehensive Care System, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 2 Medicare specialties reassign their Medicare billing to Jefferson Comprehensive Care System, Inc. 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. The largest specialties are Nurse Practitioner (17) and Family Practice (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jefferson Comprehensive Care System, Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0466080) is associated with this NPI, valid through August 20, 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 Jefferson Comprehensive Care System, Inc was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Altheimer Center · NPI 1730385105
Federally Qualified Health Center (FQHC) organization in Altheimer, Arkansas. Organization record, active in the CMS NPPES registry since June 22, 2007.
## Identity
- **NPI:** 1730385105 (Entity type: Organization)
- **Enumerated:** June 22, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Jefferson Comprehensive Care System, Inc
- **Organization subpart:** Yes (part of Jefferson Comprehensive Care System, Inc)
- **Authorized official:** Larnell Davis, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 309 S EDLINE, Altheimer, AR 72004-8559
- **Phone:** (870) 766-8411 · **Fax:** (870) 766-8412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 22 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Family Practice (5); [full list](https://npiprofile.com/npi/1730385105/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2007
- **Other identifiers:** Medicare OSCAR/certification 041822 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730385105) · Data from the CMS NPPES public registry.