NPIMap

Healthy Connections, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Mount Ida, AR

NPI 1265627616 · NPPES record last updated Jan 19, 2020

Key facts

NPI
1265627616
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 11

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

Other NPIs on the same Medicare enrollment 19

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

Other NPIs with the same Medicare PAC ID 18

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

Practitioners 27

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

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AR

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
Corporation · Non-profit
Incorporated
Feb 20, 1998 in AR
Enrollment address
534 Luzerne St
Mount Ida, AR 71957-9449

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 Director
Board Member		 Sep 1, 2013
Stephen Warrick
Individual 		Corporate Director
Board Member		 Apr 26, 2022
William a Gathright
Individual 		Corporate Director
Secretary		 Jan 1, 2008
Anthony Calandro
Individual 		Corporate Officer
Ceo		 Oct 4, 2010
W-2 Managing Employee
Ceo		 Oct 4, 2010
Sherry Johnston
Individual 		Corporate Director
Board Member		 Feb 1, 2018
Bruce Wayne Jones
Individual 		Corporate Director
Board Member		 Dec 1, 2015
Billie Holsomback
Individual 		Corporate Director
Board Member		 Nov 1, 2018
Kim Armstrong
Individual 		Corporate Director
Board Member		 Jan 1, 2019
William T Edwards
Individual 		Corporate Director
Vice-Chair		 Dec 1, 2011
Dalton Hopper
Individual 		Corporate Director
Board 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 Incorporated
Hot Springs, AR · CCN 041907		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Arkadelphia, AR · CCN 041931		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Hot Springs, AR · CCN 041957		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Little Rock, AR · CCN 041962		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Hot Springs Village, AR · CCN 041988		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 20, 1998
Healthy Connections Incorporated
Russellville, AR · CCN 041010		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Haskell, AR · CCN 041011		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Malvern, AR · CCN 041012		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Conway, AR · CCN 041026		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Sheridan, AR · CCN 041030		 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 20, 1998
Healthy Connections Incorporated
Texarkana, AR · CCN 041079		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 20, 1998

Medicare enrollment records

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

National Provider Directory

Locations

1723 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 620-4600

900 Martin Luther King Blvd
Ste 200
Malvern, AR 72104
Phone (501) 229-1487

1201 Mena St
Mena, AR 71953
Phone (479) 394-1812

Specialties & licenses

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

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

  • Montgomery County Community Clinic Other name

Other providers in Mount Ida, AR

All providers in Mount Ida, AR · Federally Qualified Health Center (FQHC) in Arkansas

Sources for this page

Verify at the official NPI Registry.