| Healthy Connections, Inc. | |
|
1100 N University Ave Ste 200 Little Rock AR 72207-6360 | |
| (888) 710-8220 | |
| (866) 573-0761 |
| Full Name | Healthy Connections, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 N University Ave Ste 200, Little Rock, 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. 1100 N University Ave Ste 200 Little Rock AR 72207-6360 Ph: (888) 710-8220 |
| NPI Number | 1104466671 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 9931018421 |
|---|---|
| Medicare Enrollment ID | O20200116002523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104466671 | NPI | - | NPPES |
| 238925749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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