Organization
ST FRANCIS HOUSE NWA, INC
Active
Other names
COMMUNITY CLINIC FAYETTEVILLE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SEMINGSON (CEO)
(479) 751-7417
Entity
Organization
Contact information
Practice address
3162 W MARTIN LUTHER KING BLVD, SUITES 13 & 14, FAYETTEVILLE, AR 72704-7684
(479) 935-4834
(479) 751-2878
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
01/15/2020
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