| Healthy Connections Inc | |
|
900 Martin Luther King Blvd Ste 200 Malvern AR 72104-2217 | |
| (501) 229-1487 | |
| (501) 229-1525 |
| Full Name | Healthy Connections Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 Martin Luther King Blvd Ste 200, Malvern, Arkansas |
| Authorized Official Name and Position | Shana Bush (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4794373449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Connections Inc Po Box 1848 Mena AR 71953-1841 Ph: (479) 437-3449 | Healthy Connections Inc 900 Martin Luther King Blvd Ste 200 Malvern AR 72104-2217 Ph: (501) 229-1487 |
| NPI Number | 1003282070 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 9931018421 |
|---|---|
| Medicare Enrollment ID | O20160420001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003282070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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