IMWELL HEALTH


Address: 401 W Capitol Ave Ste 345, Little Rock, AR 72201-3475
Phone: 5013017300

IMWELL HEALTH (NPI# 1912221268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912221268
Entity Type Organization
Organization Name IMWELL HEALTH
Practice Address 401 W Capitol Ave Ste 345
Little Rock
AR 72201-3475
Mailing Address 616 S 17th St
Fort Smith
AR 72901-4700
Practice Telephone 5013017300
Practice Fax Number 5012440572
Mailing Telephone 4794343333
Mailing Fax Number 4794343535
Enumeration Date 2010-03-16
Last Update Date 2010-03-16
Authorized Official Name ANN DORNBLASER (DIRECTOR OF CORPORATE OPERATIONS)
Authorized Official Telephone 4794343333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
A01024 AR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR AR LICENSE A01024 01
AR DEA ML0203745 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336337336 Imwell Health Clinic/Center 616 S 17th St, Fort Smith, AR 72901-4700 2007-10-04

Office Location

Street Address 401 W CAPITOL AVE STE 345
City LITTLE ROCK
State AR
Zip Code 72201-3475

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1891045464 Nathan James Winter Occupational Therapist 26 Corporate Hill Dr., Little Rock, AR 72201 2012-09-11
1154627941 Clement Wade Fox Internal Medicine 320 W. Capitol, Little Rock, AR 72201 2011-01-27
1245462514 Consevella A James Social Worker 700 West 4th Street, Treatment Homes, Inc., Little Rock, AR 72201 2009-08-20
1174775688 Martha Ann Nixon Physical Therapist 801 W. Markham, Little Rock, AR 72201 2008-10-15
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1437370467 Donald Paul Brady Psychiatry & Neurology 430 W 7th St, Little Rock, AR 72201 2007-05-01
1396863700 Eugene Robert Gerst Jr. Counselor 820 W 6th Street, Ste 200, Little Rock, AR 72201 2007-03-26
1194841783 The Care Center, Inc Counselor 820 W6th St, Ste 200, Little Rock, AR 72201 2007-03-22
1992821508 Rellia Ann Dillinger Counselor 820 W 6th St, Ste 200, Little Rock, AR 72201 2007-03-22
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1245416007 Medbasics Arkansas LLC Clinic/Center 105 N Rodney Parham Rd, Little Rock, AR 72205-2421 2008-01-10
1770997231 Baptist Health Onsite Employee Clinic Clinic/Center 11001 Executive Center Dr, Ste 200, Little Rock, AR 72211-4316 2014-06-12
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1841593555 Shawn Cones, M.d., Pllc, Pa Clinic/Center 3401 Atwood Rd, Suite B, Little Rock, AR 72206-6012 2010-12-20
1427379387 Full Potential Clinic/Center 8109 Interstate 30, Little Rock, AR 72209-4840 2010-06-15
1609058643 Carter Family Medicine Clinic, Pllc Clinic/Center 500 S University Ave, Suite 521, Little Rock, AR 72205-5302 2007-12-01
1801017595 Evergreen Internal Medicine Pllc Clinic/Center 1100 N University Ave, Suite 125, Little Rock, AR 72207-6343 2007-05-01
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Competitor

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City LITTLE ROCK
Zip Code 72201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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