Lake Village Clinic PA
NPI 1306801212 · Rural Health Clinic/Center · Lake Village, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Village Clinic PA is a Rural Health Clinic/Center organization in Lake Village, AR (NPI 1306801212).
Provider details
- NPI number
- 1306801212
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Suzanne Howell, Billing Manager(870) 265-5343
- License
- MC0189 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Lake Village Clinic PA's NPI number?
- Lake Village Clinic PA's National Provider Identifier (NPI) is 1306801212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Village Clinic PA?
- Lake Village Clinic PA is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Village Clinic PA located?
- Lake Village Clinic PA's practice location on file with NPPES is 2918 Louis Sessions St, Lake Village, AR 71653-6049.
- What is Lake Village Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Village Clinic PA is (870) 265-5343.
- Does Lake Village Clinic PA accept Medicare?
- Lake Village Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Village Clinic PA?
- The authorized official listed on Lake Village Clinic PA's NPPES record is Suzanne Howell, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Village Clinic PA's NPI active?
- Yes — Lake Village Clinic PA's NPI (1306801212) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.