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HSP WOLF CLINIC
NPI 1962004093
Family Medicine in Pearcy, AR

Active since November 13, 2020CLIA 04D2205311 · Microscopy

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2020, Nov 13, 2020 (2 updates tracked since 2020).

About Hsp Wolf Clinic NPPES

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

HSP WOLF CLINIC (NPI 1962004093) is a healthcare organization registered as a family medicine in Pearcy, Arkansas and active in the NPI registry since November 2020. The organization holds a CLIA Microscopy certificate valid through December 15, 2026 and lists Brenda Larie Southerland, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962004093
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Location Address205 WOLF STPearcy, AR 71964-9449
Mailing Address1661 Airport Rd Ste DHot Springs, AR 71913-8184 · (501) 625-7500 · Fax (501) 625-7777
Phone(501) 767-2306
Organization SubpartNo
Authorized OfficialBrenda Larie SoutherlandCfo · (501) 625-7500
Enumeration DateNovember 13, 2020
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1962004093 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.
205 WOLF ST, Pearcy, AR 71964
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Other Names 1

Doing Business AsHsp Wolf Clinic

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

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) 04D2205311

Hsp Wolf Clinic · Pearcy, AR
Active · expires Dec 15, 2026
CLIA Number04D2205311
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorMs. Natalie D. Manatt
Laboratory Phone(501) 463-5447
Laboratory LocationHsp Wolf Clinic201 Oakbrook, Pearcy, AR 71964
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

KRISTIN ELIZABETH SHULTS MS, CCC-SLP
Speech-Language Pathologist
205 WOLF ST
PEARCY, AR 71964
Garland County (501) 767-8444
MRS. ALEXANDRIA MARIE WEATHERFORD M.A. CCC-SLP
Speech-Language Pathologist
205 WOLF ST
PEARCY, AR 71964
Garland County (501) 767-7909
MRS. LAUREN AULT OTR/L
Occupational Therapist
205 WOLF ST
PEARCY, AR 71964
Garland County (501) 760-7759
LAKE HAMILTON SCHOOL DISTRICT
Local Education Agency (LEA)
205 WOLF ST
PEARCY, AR 71964
Garland County (501) 767-8444
MRS. MARY ELIZABETH VOWELL CCC-SLP
Speech-Language Pathologist
205 WOLF ST
PEARCY, AR 71964
Garland County (501) 760-7759

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 Healthstar Physicians Of Hot Springs, PLLC's NPI number?

The NPI number for Healthstar Physicians Of Hot Springs, PLLC is 1962004093. It was assigned to this organization in the NPPES registry on November 13, 2020. The provider is doing business as Hsp Wolf Clinic.

Where is Healthstar Physicians Of Hot Springs, PLLC located?

Healthstar Physicians Of Hot Springs, PLLC is located at 205 Wolf St, Pearcy, AR 71964. The listed phone number is (501) 767-2306.

What is Healthstar Physicians Of Hot Springs, PLLC's specialty?

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

Does Healthstar Physicians Of Hot Springs, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2205311) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthstar Physicians Of Hot Springs, PLLC was last updated on December 10, 2020. 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.