IMWELL HEALTH NPI 1912221268

NPI Information

NPI: 1912221268
Provider Name: IMWELL HEALTH
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
401 W CAPITOL AVE STE 345
LITTLE ROCK, AR
ZIP 72201
Phone: (501) 301-7300
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IMWELL HEALTH is a primary care clinic center in Little Rock, AR. IMWELL HEALTH NPI is 1912221268. The provider is registered as an organization entity type.

The provider's business location address is:

401 W CAPITOL AVE STE 345
LITTLE ROCK, AR
ZIP 72201-475
Phone: (501) 301-7300
Fax: (501) 244-0572

The provider's authorized official is Ann Dornblaser .
The authorized official title is Director Of Corporate Operations and has the following contact phone number (479) 434-3333.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A01024	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A01024	OTHER	ARKANSAS	AR LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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