Organization
HEALTHY CONNECTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA BUSH (CREDENTIALING SPECIALIST)
(479) 437-3449
Entity
Organization
Contact information
Practice address
1100 N UNIVERSITY AVE STE 200, LITTLE ROCK, AR 72207-6360
(888) 710-8220
(866) 573-0761
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(479) 437-3449
(479) 243-0285
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238925749
—
AR
Enumeration date
01/13/2020
Last updated
02/19/2025
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