Organization Active NPI

Be Healthy Medical Services, LLC

  • Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1962969725
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BE HEALTHY MEDICAL SERVICES, LLC
Practice address
1583 Main Dr
Fayetteville, AR 72704-5214
Phone
(479) 443-0800
Fax
(479) 443-5538
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Andrew Miller, NP-C
Title
Owner
Phone
(479) 866-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1583 Main Dr
Fayetteville, AR 72704-5214

Mailing address

6 N Harvey Dowell Rd
Fayetteville, AR 72701-0721
Phone (479) 866-9411

National Provider Directory

National Provider Directory

Locations

1583 Main Dr
Fayetteville, AR 72704
Phone (479) 443-0800

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1962969725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N HARVEY DOWELL RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010721",
            "telephone_number": "479-866-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045214",
            "telephone_number": "479-443-0800",
            "fax_number": "479-443-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE HEALTHY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-866-9411",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.