Provider Demographics
NPI:1710526934
Name:HEALTH CONNECTION INTEGRATION INC
Entity Type:Organization
Organization Name:HEALTH CONNECTION INTEGRATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:HURLEY
Authorized Official - Last Name:BAUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-513-3322
Mailing Address - Street 1:2100 MEADOWLAKE RD STE 10
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-2569
Mailing Address - Country:US
Mailing Address - Phone:501-513-3322
Mailing Address - Fax:
Practice Address - Street 1:2100 MEADOWLAKE RD STE 10
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-2569
Practice Address - Country:US
Practice Address - Phone:501-513-3322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty