Provider Demographics
NPI:1356072623
Name:IVX HEALTH OF ARKANSAS, INC.
Entity Type:Organization
Organization Name:IVX HEALTH OF ARKANSAS, INC.
Other - Org Name:IVX HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-610-3646
Mailing Address - Street 1:214 CENTERVIEW DR STE 250
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3248
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:113 PARKWOOD ST STE A
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-8811
Practice Address - Country:US
Practice Address - Phone:479-361-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-18
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center