Organization Active NPI

Abundant Health Wellness Center, Inc.

  • Health Service Clinic/Center
  • Eureka Springs, AR
National Provider Identifier
1699147991
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ABUNDANT HEALTH WELLNESS CENTER, INC.
Practice address
240 Huntsville Rd
Eureka Springs, AR 72632-8700
Phone
(479) 325-9749
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dana West
Title
President
Phone
(479) 325-9749

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1533 AR
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X E-7097 AR
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X E-5405 AR
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

240 Huntsville Rd
Eureka Springs, AR 72632-8700

Mailing address

32292 Highway 23
Huntsville, AR 72740-7553
Phone (479) 325-9749

National Provider Directory

National Provider Directory

Locations

240 Huntsville Rd
Eureka Springs, AR 72632
Phone (479) 325-9749

240 Huntsville Rd
Ste Aa
Eureka Springs, AR 72632

240 Huntsville Rd
Unit Aa
Eureka Springs, AR 72632
Phone (479) 325-9749

Practitioners & affiliated clinicians

Practitioners 1

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1699147991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32292 HIGHWAY 23",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727407553",
            "telephone_number": "479-325-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HUNTSVILLE RD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726328700",
            "telephone_number": "479-325-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-325-9749"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1533",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "AR",
            "license": "E-7097",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "E-5405",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.