BE HEALTHY MEDICAL SERVICES, LLC (NPI# 1962969725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962969725 |
| Entity Type | Organization |
| Organization Name | BE HEALTHY MEDICAL SERVICES, LLC |
| Practice Address |
1583 Main Dr Fayetteville AR 72704-5214 |
| Mailing Address |
6 N Harvey Dowell Rd Fayetteville AR 72701-0721 |
| Practice Telephone | 4794430800 |
| Practice Fax Number | 4794435538 |
| Mailing Telephone | 4798669411 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | ANDREW MILLER (OWNER) |
| Authorized Official Telephone | 4798669411 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1583 MAIN DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114907854 | Blair B Masters | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2006-01-19 |
| 1164065330 | Kody Lelan Chastain | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2019-10-21 |
| 1851871875 | Andrew Miller | Nurse Practitioner | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2018-08-20 |
| 1992197180 | Brock Johnson | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2015-02-24 |
| 1588850580 | Andrea Elaine Williams | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2007-09-24 |
| 1336288414 | Mitchell L Gibson | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2007-02-06 |
| 1457423766 | Arkansas Physical Health & Rehab | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683032 | Red Earth Acupuncture | Clinic/Center | 1836 Highway 54 W, Fayetteville, GA 30214-4742 | 2019-05-06 |
| 1477033728 | Swetnam Cosmetic Surgery, Pllc | Clinic/Center | 1695 E Rainforest Rd Ste 3, Fayetteville, AR 72703-5385 | 2018-08-16 |
| 1023500725 | Greenbrook Tms Fayetteville LLC | Clinic/Center | 1991 Fordham Dr Ste 202, Fayetteville, NC 28304-3774 | 2018-05-30 |
| 1871013367 | Shiloh Health and Longevity | Clinic/Center | 1794 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5257 | 2017-06-26 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1407017965 | Correctiona Medical Associates | Clinic/Center | 205 Mcintosh Place Dr, Fayetteville, GA 30214-7384 | 2008-06-18 |
| 1376728154 | Massage Therapeutics, Inc Center for Wellness | Clinic/Center | 500 Lanier Ave W Ste 411, Fayetteville, GA 30214-7638 | 2007-12-30 |
| 1578767299 | Kidzplex Fitness | Clinic/Center | 1830q Owen Dr, Fayetteville, NC 28304-3421 | 2007-06-14 |
| 1114067519 | Rediclinic LLC | Clinic/Center | 3911 North Mall Avenue, Fayetteville, AR 72703 | 2007-02-07 |
| 1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
Please comment or provide details below to improve the information on BE HEALTHY MEDICAL SERVICES, LLC.
| 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.