Provider Demographics
NPI:1861458689
Name:THE HEALING POINT ALTERNATIVE HEALTH CENTER
Entity Type:Organization
Organization Name:THE HEALING POINT ALTERNATIVE HEALTH CENTER
Other - Org Name:MATTHEW CHIROPRACTIC CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:H
Authorized Official - Last Name:ATHA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-649-9422
Mailing Address - Street 1:5601 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3211
Mailing Address - Country:US
Mailing Address - Phone:479-649-9422
Mailing Address - Fax:479-649-9515
Practice Address - Street 1:5601 DUNCAN RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3211
Practice Address - Country:US
Practice Address - Phone:479-649-9422
Practice Address - Fax:479-649-9515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR=========OtherTAX ID
AR5B258Medicare ID - Type UnspecifiedCLINIC NUMBER