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BANISTER-LIEBLONG CLINIC
NPI 1861455057
Clinic/Center - Rural Health in Conway, AR

Active since April 10, 2006CLIA 04D0466251 · Waiver
2425 DAVE WARD DR, STE 401, CONWAY, AR 72034(501) 329-3824(501) 327-2957 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banister-lieblong Clinic NPPES

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

BANISTER-LIEBLONG CLINIC (NPI 1861455057) is a healthcare organization registered as a rural health in Conway, Arkansas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Lander A Smith, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1861455057
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOWLIN-CUMMINS PA
Location Address2425 DAVE WARD DR, STE 401Conway, AR 72034
Mailing Address2425 Dave Ward Dr, Ste 401Conway, AR 72034 · (501) 329-3824 · Fax (501) 327-2957
Phone(501) 329-3824
Fax(501) 327-2957
Organization SubpartNo
Authorized OfficialLander A SmithChief Financial Officer · (501) 329-3824
Enumeration DateApril 10, 2006
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1861455057 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
2425 DAVE WARD DR, Conway, AR 72034
Open in Google Maps ↗

Other Names 1

Doing Business AsBanister-lieblong Clinic

Other Identifiers 3

Medicaid156305729AR
Other5B578AR · Blue Cross Blue Sheild
Medicare OSCAR/certification043853AR

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 04D0466251

Banister-Lieblong Clinic · Conway, AR
Active · expires Mar 28, 2028
CLIA Number04D0466251
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorDr. Randal G. Bowlin
Laboratory Phone(501) 329-3824
Laboratory LocationBanister-Lieblong Clinic2425 Dave Ward Drive, Suite 401, Conway, AR 72034
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 20

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

DAVID WILLIAM SMITH P.D.
Pharmacist
2425 DAVE WARD DR, STE. 602
CONWAY, AR 72034
Faulkner County (501) 329-3777
DR. ERIC BRIAN RUSSELL M.D.
Dermatology
2425 DAVE WARD DR, SUITE 202
CONWAY, AR 72034
Faulkner County (501) 328-5050
JOE C CUMMINS MD
Family Medicine
2425 DAVE WARD DR, SUITE 401
CONWAY, AR 72034
Faulkner County (501) 329-3824
DR. LEAH MARIE LAMB
Pharmacist
2425 DAVE WARD DR, SUITE 602
CONWAY, AR 72034
Faulkner County (501) 329-3777
RANDAL G BOWLIN MD
Family Medicine
2425 DAVE WARD DR, STE 401
CONWAY, AR 72034
Faulkner County (501) 329-3824
PHARMACY OPERATIONS INC
Pharmacy (Community/Retail Pharmacy)
2425 DAVE WARD DR, SUITE 602
CONWAY, AR 72034
Faulkner County (501) 329-3777
DR. MATTHEW CLIFF BROWN AU.D.
Audiologist
2425 DAVE WARD DR
CONWAY, AR 72034
Faulkner County (501) 932-7600
DR. DAVID MICHAEL ARNOLD M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2425 DAVE WARD DR, SUITE 201
CONWAY, AR 72034
Faulkner County (501) 329-7246

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 Bowlin-Cummins PA's NPI number?

The NPI number for Bowlin-Cummins PA is 1861455057. It was assigned to this organization in the NPPES registry on April 10, 2006. The provider is doing business as Banister-Lieblong Clinic.

Where is Bowlin-Cummins PA located?

Bowlin-Cummins PA is located at 2425 Dave Ward Dr Ste 401, Conway, AR 72034. The listed phone number is (501) 329-3824.

What is Bowlin-Cummins PA's specialty?

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

Does Bowlin-Cummins PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0466251) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bowlin-Cummins PA 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 Bowlin-Cummins 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 Bowlin-Cummins PA was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.