1. Home
  2. Directory
  3. Arkansas
  4. Mccrory
  5. Family Medicine
  6. NPI Profile

CACHE RIVER MEDICAL CLINIC
NPI 1780268235
Family Medicine in Mccrory, AR

Active since May 11, 2021CLIA 04D2227037 · Waiver
115 W KIMBERLY DRIVE, MCCRORY, AR 72101(870) 731-0640 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, May 11, 2021 (2 updates tracked since 2021).

About Cache River Medical Clinic NPPES

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

CACHE RIVER MEDICAL CLINIC (NPI 1780268235) is a healthcare organization registered as a family medicine in Mccrory, Arkansas and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Jennifer Taylor, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1780268235
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCACHE RIVER MEDICAL CLINIC
Location Address115 W KIMBERLY DRIVEMccrory, AR 72101
Mailing Address115 W Kimberly DriveMccrory, AR 72101-8539 · (870) 731-0640 · Fax (870) 731-0655
Phone(870) 731-0640
Organization SubpartNo
Authorized OfficialJennifer TaylorBilling Manager · (870) 588-7867
Enumeration DateMay 11, 2021
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1780268235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
115 W KIMBERLY DRIVE, Mccrory, AR 72101
Open in Google Maps ↗

Other Identifiers 1

OtherC-7761AR · Owners Medical License

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 04D2227037

Cache River Medical Clinic · Mccrory, AR
Active · expires Jun 6, 2027
CLIA Number04D2227037
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorDr. Steve E. Wampler
Laboratory Phone(870) 731-0640
Laboratory LocationCache River Medical Clinic115 W Kimberly Drive, Mccrory, AR 72101
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

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

NOAH KYLE RISNER D.O.
Internal Medicine
115 W KIMBERLY DRIVE
MCCRORY, AR 72101
Woodruff County (870) 731-0640

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 Cache River Medical Clinic's NPI number?

The NPI number for Cache River Medical Clinic is 1780268235. It was assigned to this organization in the NPPES registry on May 11, 2021.

Where is Cache River Medical Clinic located?

Cache River Medical Clinic is located at 115 W Kimberly Drive, Mccrory, AR 72101. The listed phone number is (870) 731-0640.

What is Cache River Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cache River Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2227037) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cache River Medical Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Cache River Medical Clinic 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 Cache River Medical Clinic was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.