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MARILLAC COMMUNITY HEALTH CENTERS
NPI 1982381752
Clinic/Center - Federally Qualified Health Center (FQHC) in Gould, AR

Active since July 03, 2023
407 S GOULD AVE, GOULD, AR 71643(870) 382-3080(870) 263-4782 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marillac Community Health Centers NPPES

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

MARILLAC COMMUNITY HEALTH CENTERS (NPI 1982381752), doing business as Mchc - Gould, is a healthcare organization registered as a federally qualified health center (fqhc) in Gould, Arkansas and active in the NPI registry since July 2023. The organization lists Tanyelle Oatis-gaskew, Lead Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1982381752
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARILLAC COMMUNITY HEALTH CENTERS
Location Address407 S GOULD AVEGould, AR 71643-5041
Mailing AddressPo Box 13038New Orleans, LA 70185-3038 · (504) 212-9546
Phone(870) 382-3080
Fax(870) 263-4782
Organization SubpartNo
Authorized OfficialTanyelle Oatis-gaskewLead Credentialing Specialist · (504) 212-9546
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1982381752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
407 S GOULD AVE, Gould, AR 71643
Open in Google Maps ↗

Other Names 1

Doing Business AsMchc - Gould

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marillac Community Health Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Marillac Community Health Centers, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Shundricka Reddick, NURSE PRACTITIONER
Nurse Practitioner
NPI 1407301724
407 S GOULD AVE
Gould, AR 71643
(870) 263-4317
✔ PECOS✔ Accepts MedicareSame address
Robert Scott, M.D.
General Practice
NPI 1033368246
407 SOUTH GOULD AVE.
Gould, AR 71643
(870) 263-4317
✔ PECOS✔ Accepts MedicareSame address
Kimberly Sullivan, FNP
Nurse Practitioner
NPI 1538817325
217 N MAIN ST
Rison, AR 71665
(888) 264-5034
✔ PECOS✔ Accepts Medicare36 mi
Caroline May, M.D.
Obstetrics/Gynecology
NPI 1144288879
500 S UNIVERSITY AVE STE. 305
Little Rock, AR 72205
(501) 661-9525
✔ PECOS✔ Accepts Medicare69 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marillac Community Health Centers's NPI number?

The NPI number for Marillac Community Health Centers is 1982381752. It was assigned to this organization in the NPPES registry on July 3, 2023. The provider is doing business as MCHC - Gould.

Where is Marillac Community Health Centers located?

Marillac Community Health Centers is located at 407 S Gould Ave, Gould, AR 71643. The listed phone number is (870) 382-3080.

What is Marillac Community Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Marillac Community Health Centers enrolled in Medicare?

Yes. Marillac Community Health Centers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marillac Community Health Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Marillac Community Health Centers, in General Practice, Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Marillac Community Health Centers accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Marillac Community Health Centers 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 Marillac Community Health Centers was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.