MEDICARE: HEALTHY CONNECTIONS INCORPORATED

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1205478773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY CONNECTIONS INCORPORATED

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	:	479-243-0285

Provider Business Practice Location Address
First Line	:	4511 JOHN BARROW RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72204-1445
Country	:	US
Telephone Number	:	888-710-8220
Fax Number	:

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

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	02/19/2025

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