OrganizationActive
Healthy Connections Specialty, LLC
NPI 1962003210 · Podiatrist · Malvern, AR
Provider details
- NPI number
- 1962003210
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Shana Bush, Credentialing Specialist(479) 437-3449
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Practice location
900 Martin Luther King Blvd Ste 200
Malvern, AR 72104-2217
Phone: (888) 710-8220
Fax: (866) 573-0761
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1848
Mena, AR 71953-1841
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.