MEDICARE: HEALTHY CONNECTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1275795056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY CONNECTIONS INC

Provider Business Mailing Address
First Line	:	PO BOX 1848
Second Line	:
City	:	MENA
State	:	AR
Zip	:	71953-1841
Country	:	US
Telephone Number	:	479-437-3449
Fax Number	:	479-437-3708

Provider Business Practice Location Address
First Line	:	534 LUZERNE ST
Second Line	:
City	:	MOUNT IDA
State	:	AR
Zip	:	71957-9449
Country	:	US
Telephone Number	:	870-867-4244
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANTHONY CALANDRO
Credential	:
Telephone Number	:	479-437-3449

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	01/19/2020

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Directions to “HEALTHY CONNECTIONS INC ” Practice Location

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