St Francis House Nwa, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Fayetteville, AR. Organization (NPI-2).
NPI number1316639149
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1316639149
- Entity type
- Organization (NPI-2)
- Legal business name
- St Francis House Nwa, INC
- Organization subpart
- No
- Enumeration date
- May 22, 2023
- Certification date
- Jun 13, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Community Clinic Fayetteville High School (Doing Business As)
Practice location
235 South Buchanan AvenueSuite 1
Fayetteville, AR 72701
Phone 479-751-7417 · Fax 479-751-2878
Mailing address
614 E Emma Ave Ste 300Springdale, AR 72764-4469
Phone 479-751-7417 · Fax 479-751-4898
Authorized official
James A Semingson
Ceo
4797517417
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All 6 Federally Qualified Health Center (FQHC) providers in Fayetteville · All 4,767 providers in Fayetteville
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