Healthy Connections Incorporated
Clinic/Center, Federally Qualified Health Center (FQHC) in Little Rock, AR. Organization (NPI-2).
NPI number1104466671
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1104466671
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthy Connections Incorporated
- Organization subpart
- No
- Enumeration date
- Jan 13, 2020
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
1100 N University Ave Ste 200Little Rock, AR 72207-6360
Phone 888-710-8220 · Fax 866-573-0761
Mailing address
Po Box 1848Mena, AR 71953-1841
Phone 479-437-3449 · Fax 479-243-0285
Authorized official
Shana Bush
Credentialing Specialist
4794373449
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