NPIMap

Organization Active NPI

Healthy Connections, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Ida, AR
National Provider Identifier
1265627616
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHY CONNECTIONS, INC
Practice address
534 Luzerne St
Mount Ida, AR 71957-9449
Phone
(870) 867-4244
Fax
(870) 867-4254
NPI assigned
Sep 10, 2007
Last updated
Jan 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Authorized official

Name
Anthony Calandro
Title
Ceo
Phone
(479) 437-3449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

534 Luzerne St
Mount Ida, AR 71957-9449

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (479) 437-3449

Other names 1

  • Montgomery County Community Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040106000555 AR Part B Supplier - Clinic/Group Practice 9931018421 Receives reassigned benefits from 59 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Texarkana, AR; Sheridan, AR; Russellville, AR; Mount Ida, AR; Hot Springs, AR; Mena, AR; Malvern, AR; Hot Springs Village, AR…
O20080317000662 AR Part A Provider - Federally Qualified Health Center (FQHC) 9931018421 Practice locations: Mount Ida, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265627616. Details of each certification follow.

Federally qualified health center certification: CCN 041865

Legal name
HEALTHY CONNECTIONS INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 24, 2008
Last certification
Apr 24, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 20, 1998 in AR
Enrollment address
534 Luzerne St
Mount Ida, AR 71957-9449

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steve Rook Individual Corporate DirectorBoard Member Sep 1, 2013
Stephen Warrick Individual Corporate DirectorBoard Member Apr 26, 2022
William a Gathright Individual Corporate DirectorSecretary Jan 1, 2008
Anthony Calandro Individual Corporate OfficerCeo Oct 4, 2010
W-2 Managing EmployeeCeo Oct 4, 2010
Sherry Johnston Individual Corporate DirectorBoard Member Feb 1, 2018
Bruce Wayne Jones Individual Corporate DirectorBoard Member Dec 1, 2015
Billie Holsomback Individual Corporate DirectorBoard Member Nov 1, 2018
Kim Armstrong Individual Corporate DirectorBoard Member Jan 1, 2019
William T Edwards Individual Corporate DirectorVice-Chair Dec 1, 2011
Dalton Hopper Individual Corporate DirectorBoard Member Apr 26, 2022

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healthy Connections IncorporatedHot Springs, AR, CCN 041907 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedArkadelphia, AR, CCN 041931 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedHot Springs, AR, CCN 041957 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedLittle Rock, AR, CCN 041962 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedHot Springs Village, AR, CCN 041988 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 20, 1998
Healthy Connections IncorporatedRussellville, AR, CCN 041010 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedHaskell, AR, CCN 041011 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedMalvern, AR, CCN 041012 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedConway, AR, CCN 041026 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedSheridan, AR, CCN 041030 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections IncorporatedTexarkana, AR, CCN 041079 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 20, 1998

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1265627616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "479-437-3449",
            "fax_number": "479-437-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 LUZERNE ST",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719579449",
            "telephone_number": "870-867-4244",
            "fax_number": "870-867-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CONNECTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "CALANDRO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-437-3449"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery County Community Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Ida, AR

Sources for this page

Verify at the official NPI Registry.