Provider Demographics
NPI:1558476564
Name:CHIROLINK INC.
Entity Type:Organization
Organization Name:CHIROLINK INC.
Other - Org Name:ADVANCED HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, APRN
Authorized Official - Phone:479-571-2225
Mailing Address - Street 1:PO BOX 698
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-0698
Mailing Address - Country:US
Mailing Address - Phone:479-571-2273
Mailing Address - Fax:479-571-2226
Practice Address - Street 1:2111 S OLD MISSOURI RD STE E
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-8748
Practice Address - Country:US
Practice Address - Phone:479-571-2273
Practice Address - Fax:479-571-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164279002Medicaid
AR164279002Medicaid
AR164279002Medicaid
AR5U848Medicare PIN