Organization
IMWELL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DORNBLASER (DIRECTOR OF CORPORATE OPERATIONS)
(479) 434-3333
Entity
Organization
Contact information
Practice address
401 W CAPITOL AVE STE 345, LITTLE ROCK, AR 72201-3475
(501) 301-7300
(501) 244-0572
Mailing address
616 S 17TH ST, FORT SMITH, AR 72901-4700
(479) 434-3333
(479) 434-3535
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A01024
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A01024
AR LICENSE
AR
Enumeration date
03/16/2010
Last updated
03/07/2023
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