Healthy Connections, Inc. | |
3312 W Main St Russellville AR 72801-2304 | |
(888) 710-8220 | |
(866) 573-0761 |
Full Name | Healthy Connections, Inc. |
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Speciality | Clinic/Center |
Location | 3312 W Main St, Russellville, Arkansas |
Authorized Official Name and Position | Anthony Calandro (CEO) |
Authorized Official Contact | 4794373449 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Connections, Inc. Po Box 1848 Mena AR 71953-1841 Ph: (479) 437-3449 | Healthy Connections, Inc. 3312 W Main St Russellville AR 72801-2304 Ph: (888) 710-8220 |
NPI Number | 1295313609 |
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Provider Enumeration Date | 03/30/2021 |
Last Update Date | 03/17/2023 |
Medicare PECOS PAC ID | 9931018421 |
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Medicare Enrollment ID | O20220712003357 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295313609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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