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LAWENCE COUNTY FAMILY CLINIC, P.A .,RURAL HEALTH CLINIC
NPI 1740317452
Clinic/Center - Rural Health in Walnut Ridge, AR

Active since February 28, 2007CLIA Certified · 2 labs
1210 W MAIN ST, WALNUT RIDGE, AR 72476(870) 886-3543(870) 886-3252 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawence County Family Clinic, P.a .,rural Health Clinic NPPES

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

LAWENCE COUNTY FAMILY CLINIC, P.A .,RURAL HEALTH CLINIC (NPI 1740317452) is a healthcare organization registered as a rural health in Walnut Ridge, Arkansas and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Anita B Marlin, Insurance Clerk, as its authorized official.

NPPES Registry Identity

NPI1740317452
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAWRENCE COUNTY FAMILY CLINIC, PA
Location Address1210 W MAIN STWalnut Ridge, AR 72476-1005
Mailing AddressPo Box 719Walnut Ridge, AR 72476-0719 · (870) 886-3543 · Fax (870) 886-3252
Phone(870) 886-3543
Fax(870) 886-3252
Organization SubpartNo
Authorized OfficialAnita B MarlinInsurance Clerk · (870) 886-3543
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 15, 2014
✔ NPI 1740317452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1210 W MAIN ST, Walnut Ridge, AR 72476
Open in Google Maps ↗

Other Names 1

Doing Business AsLawence County Family Clinic, P.a .,rural Health Clinic

Other Identifiers 2

Medicare ID-Type Unspecified043839AR
Medicaid128549729AR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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 04D0468171

Lawrence County Family Clinic PA · Walnut Ridge, AR
Active · expires Jan 9, 2028
CLIA Number04D0468171
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorMs. Chasidy Tate
Laboratory Phone(870) 886-3543
Laboratory LocationLawrence County Family Clinic PA1210 West Main, Walnut Ridge, AR 72476
CLIA data matches this NPI record on: Address Name 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 of Waiver 04D0926696

Lawrence County Family Clinic PA Rhc · Walnut Ridge, AR
Active · expires Mar 27, 2027
CLIA Number04D0926696
Laboratory TypeOther
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorTed S. Lancaster MD
Laboratory Phone(870) 886-3543
Laboratory LocationLawrence County Family Clinic PA Rhc1210 West Main, Walnut Ridge, AR 72476
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

CASSANDRA LOU HUNTER M.D.
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 972-0063
SHAWN C PEYTON M.D.
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3543
CLAY R SPENCER M.D.
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3543
TEDDY S LANCASTER M.D.
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3543
SEBASTIAN A. SPADES III M.D.
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3543
CHARLES D DAVIDSON M.D.
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3543
LAWRENCE COUNTY FAMILY CLINIC, PA
Family Medicine
1210 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3543

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 Lawrence County Family Clinic, PA's NPI number?

The NPI number for Lawrence County Family Clinic, PA is 1740317452. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Lawence County Family Clinic, P.A .,rural Health Clinic.

Where is Lawrence County Family Clinic, PA located?

Lawrence County Family Clinic, PA is located at 1210 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-3543.

What is Lawrence County Family Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lawrence County Family Clinic, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lawrence County Family Clinic, PA accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Lawrence County Family Clinic, PA 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 Lawrence County Family Clinic, PA was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.