Organization Active NPI

Visit Healthcare

  • Community/Behavioral Health Agency
  • Conway, AR
National Provider Identifier
1215642079
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISIT HEALTHCARE
Practice address
3025 Fountain Dr
Conway, AR 72034-3689
Phone
(501) 215-7331
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin Fanger
Title
Chairman of Board
Phone
(408) 890-6648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3025 Fountain Dr
Conway, AR 72034-3689

Mailing address

20 S Santa Cruz Ave Ste 300
Los Gatos, CA 95030-6827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1215642079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343689",
            "telephone_number": "501-215-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "FANGER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "408-890-6648"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.