NPIMap

Organization Active NPI

Healthy Connections, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Ida, AR
National Provider Identifier
1750847208
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
430 Ballpark Rd
Mount Ida, AR 71957-8013
Phone
(888) 710-8220
NPI assigned
Feb 20, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

View all 19

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

Practitioners 29

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

View all 29

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…
O20190520000313 AR Part a Provider - Federally Qualified Health Center (FQHC) 9931018421 Practice locations: Mount Ida, AR

Federally qualified health center certification: CCN 041952

Medicare enrollment files
Legal name
HEALTHY CONNECTIONS INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 20, 2019
Last certification
May 20, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 20, 1998 in AR
Enrollment address
430 Ballpark Rd
Mount Ida, AR 71957-8013

All disclosed owners & managing parties 10

Medicare enrollment files

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 Dec 1, 2020
Will Williams Individual Corporate Director Jun 25, 2024
Stephen Warrick Individual Corporate Director Feb 24, 2022
William a Gathright Individual Corporate DirectorChairman Jan 1, 2008
Anthony Calandro Individual Corporate OfficerChief Executive Officer Oct 4, 2010
W-2 Managing EmployeeChief Executive Officer Oct 4, 2010
Sherry Johnston Individual Corporate DirectorSecretary & Treasurer Feb 1, 2018
Bruce Wayne Jones Individual Corporate DirectorVice-Chairman Dec 1, 2015
Billie Holsomback Individual Corporate Director Nov 1, 2018
William T Edwards Individual Corporate Director Dec 1, 2011
Dalton Hopper Individual Corporate Director Apr 26, 2022

All facility ownership & control disclosures 11

Medicare enrollment files

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

National Provider Directory

National Provider Directory
Tax ID family
Healthy Connections Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

430 Ballpark Rd
Mount Ida, AR 71957-8013

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2020.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1750847208",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BALLPARK RD",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719578013",
            "telephone_number": "888-710-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CONNECTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "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": []
}

Other providers in Mount Ida, AR

Sources for this page

Verify at the official NPI Registry.