Organization
ST. FRANCIS HOUSE NWA, INC.
Active
Other names
Community Clinic Springdale Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SEMINGSON (CEO)
(479) 751-7417
Entity
Organization
Contact information
Practice address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 751-7417
(479) 751-2878
Mailing address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 751-7417
(479) 751-7304
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155917749
—
AR
01
—
5F343
AR BLUECROSS BLUESHIELD
AR
Enumeration date
08/08/2006
Last updated
01/15/2020
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