Organization Active NPI

Infinity Health Clinic, LLC

  • Clinic/Center
  • Lonsdale, AR
National Provider Identifier
1235729997
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INFINITY HEALTH CLINIC, LLC
Practice address
25255 Highway 5 Ste K
Lonsdale, AR 72087-9102
Phone
(501) 922-5621
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Ashley Tabor
Title
Credentialing Administrator
Phone
(301) 247-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

25255 Highway 5 Ste K
Lonsdale, AR 72087-9102

Mailing address

25255 Highway 5 Ste K
Lonsdale, AR 72087-9102
Phone (501) 922-5621

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ashley.infinityhealthar@gmail.com Other

National Provider Directory

National Provider Directory

Locations

25255 Highway 5
Ste K
Lonsdale, AR 72087
Phone (501) 476-7171

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1235729997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25255 HIGHWAY 5 STE K",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879102",
            "telephone_number": "501-922-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 HIGHWAY 5 STE K",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879102",
            "telephone_number": "501-922-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "301-247-5454"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ashley.infinityhealthar@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "company email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "25255 Highway 5 Ste K",
            "city": "Lonsdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720879102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lonsdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.