BANISTER-LIEBLONG CLINIC
NPI 1861455057
Clinic/Center - Rural Health in Conway, AR
NPI Status: Active since April 10, 2006
Contact Information
2425 DAVE WARD DR
STE 401
CONWAY, AR
ZIP 72034
Phone: (501) 329-3824
Fax: (501) 327-2957
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 04D0466251
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 03-28-2026
About BANISTER-LIEBLONG CLINIC
This page provides the complete NPI Profile along with additional information for Banister-lieblong Clinic, a primary care provider established in Conway, Arkansas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1861455057 assigned on April 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Banister-lieblong Clinic. The authorized official of this NPI record is Lander A Smith Md (Chief Financial Officer)
- NPI
- 1861455057
- Provider Legal Name
- BOWLIN-CUMMINS PA
- Other Organization Name
- BANISTER-LIEBLONG CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2425 DAVE WARD DR STE 401 CONWAY, AR 72034
- Location Phone
- (501) 329-3824
- Location Fax
- (501) 327-2957
- Mailing Address
- 2425 DAVE WARD DR STE 401 CONWAY, AR 72034
- Mailing Phone
- (501) 329-3824
- Mailing Fax
- (501) 327-2957
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2006
- Last Update Date
- 01-06-2015
- Code Navigator
A primary care provider (PCP) like Banister-lieblong Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156305729 | MEDICAID (05) | AR | |
| 5B578 | OTHER (01) | AR | BLUE CROSS BLUE SHEILD |
| 043853 | MEDICARE OSCAR/CERTIFICATION (06) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D0466251
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- March 29, 2024
- Certificate Expiration Date
- March 28, 2026
- Laboratory Director
- DR. RANDAL G. BOWLIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Banister-lieblong Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 6 | 1 | 4 | 5 | 5 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 8 | 5 | 10 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 8 + 5 + 1 + 0 + 0 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1861455057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265419774 | RANDAL G BOWLIN MD Individual | Family Medicine | 2425 DAVE WARD DR STE 401 CONWAY, AR 72034 (501) 329-3824 |
| 1063499150 | JOE C CUMMINS MD Individual | Family Medicine | 2425 DAVE WARD DR SUITE 401 CONWAY, AR 72034 (501) 329-3824 |
| 1861479966 | LANDER A SMITH MD Individual | Family Medicine | 2425 DAVE WARD DR SUITE 401 CONWAY, AR 72034 (501) 329-3824 |
| 1730166844 | DAVID L NAYLOR MD Individual | Family Medicine | 2425 DAVE WARD DR STE 401 CONWAY, AR 72034 (501) 329-3824 |
| 1457330011 | DR. SHELLEY W RUSSELL M.D. Individual | Dermatology | 2425 DAVE WARD DR SUITE 202 CONWAY, AR 72034 (501) 328-5050 |
| 1033198510 | DR. ERIC BRIAN RUSSELL M.D. Individual | Dermatology | 2425 DAVE WARD DR SUITE 202 CONWAY, AR 72034 (501) 328-5050 |
| 1477522217 | SELECT PHYSICAL THERAPY HOLDINGS INC Organization | Clinic/Center (Physical Therapy) | 2425 DAVE WARD DR NUMBER 103 CONWAY, AR 72034 (501) 327-1730 |
| 1407811169 | DR. DAVID MICHAEL ARNOLD M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 2425 DAVE WARD DR SUITE 201 CONWAY, AR 72034 (501) 329-7246 |
| 1639134067 | RUSSELL DERMATOLOGY OF CONWAY, PLLC Organization | Dermatology | 2425 DAVE WARD DR SUITE 202 CONWAY, AR 72034 (501) 328-5050 |
| 1558536219 | MS. KATHLEEN E. PHILLIPS M.S., CCC-A Individual | Audiologist | 2425 DAVE WARD DR SUITE 101 CONWAY, AR 72034 (501) 932-7600 |
| 1902043227 | SAINT-MARK ENTERPRISES 1890 LLC Organization | Pharmacy (Community/Retail Pharmacy) | 2425 DAVE WARD DR SUITE 602 CONWAY, AR 72034 (501) 329-7777 |
| 1558667683 | ANNETTE N. ANDERSON, MD, PA Organization | Psychiatry & Neurology (Geriatric Psychiatry) | 2425 DAVE WARD DR SUITE 102 CONWAY, AR 72034 (501) 932-0480 |
| 1740481274 | TRUDY DAVIS FORBUSH PHYSICAL THERAPIST Individual | Physical Therapist | 2425 DAVE WARD DR CONWAY, AR 72034 (501) 327-1730 |
| 1992180269 | NATALIE CLAIRE BROWND APRN Individual | Nurse Practitioner (Family) | 2425 DAVE WARD DR SUITE #401 CONWAY, AR 72034 (501) 329-3824 |
| 1962862557 | MRS. RACHEL CHOATE MSN, APRN, FNP-C Individual | Nurse Practitioner (Family) | 2425 DAVE WARD DR SUITE 202 CONWAY, AR 72034 (501) 328-5050 |
| 1871990937 | THE PAIN MEDICINE CONSULTANTS GROUP Organization | Durable Medical Equipment & Medical Supplies | 2425 DAVE WARD DR GORDY BUILDING STE 102 CONWAY, AR 72034 (501) 764-1150 |
| 1114461118 | DR. LEAH MARIE LAMB Individual | Pharmacist | 2425 DAVE WARD DR SUITE 602 CONWAY, AR 72034 (501) 329-3777 |
| 1023099009 | DAVID WILLIAM SMITH P.D. Individual | Pharmacist | 2425 DAVE WARD DR STE. 602 CONWAY, AR 72034 (501) 329-3777 |
| 1790776912 | JJJ SMITH, INC Organization | Pharmacist | 2425 DAVE WARD DR STE. 602 CONWAY, AR 72034 (501) 329-3777 |
| 1336498492 | DR. MATTHEW CLIFF BROWN AU.D. Individual | Audiologist | 2425 DAVE WARD DR CONWAY, AR 72034 (501) 932-7600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861455057, enumerated in the NPI registry as an "organization" on April 10, 2006
The provider is located at 2425 Dave Ward Dr Ste 401 Conway, Ar 72034 and the phone number is (501) 329-3824
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D0466251 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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