LAVACA WELLNESS CLINIC, P.A. — NPI 1821390287 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in LAVACA, AR)

CMS-1500 Box 24J / 33a • NPI

1821390287

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QP2300X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

603 S DIVISION ST, LAVACA, AR, 72941-4129

✓ 9-Digit EDI 837 ZIP+4 (72941-4129)

Practice Phone & Referral Fax

(479) 674-9181

Fax: (479) 674-8105

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821390287 (LAVACA WELLNESS CLINIC, P.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821390287` (NPI-2 Organization / Facility)
Provider / Legal Name	LAVACA WELLNESS CLINIC, P.A.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP2300X` (Clinic/Center, Primary Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	603 S DIVISION ST, LAVACA, AR, 72941-4129
Practice Telephone / Fax	Tel: (479) 674-9181 \| Fax: (479) 674-8105
Administrative Mailing Address	603 S DIVISION ST, LAVACA, AR, 72941-4129
Enumeration & Last Sync	Enumerated: 2010-11-17 \| CMS Record Updated: 2010-11-17
Authorized Official	ROBERT SANDERS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

603 S DIVISION ST, LAVACA, AR, 72941-4129

🗺️ Open in Google Maps 🏥 More Providers in LAVACA

🔒 Are you LAVACA WELLNESS CLINIC, P.A.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (261QP2300X)

What Does Taxonomy Code 261QP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LAVACA WELLNESS CLINIC, P.A.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP2300X` — Clinic/Center, Primary Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

LAVACA WELLNESS CLINIC, P.A. (NPI #1821390287)