SHILOH HEALTH AND LONGEVITY
NPI 1871013367
Clinic/Center in Fayetteville, AR

Active since June 26, 2017
1794 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703(479) 443-7771 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

About Shiloh Health And Longevity NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHILOH HEALTH AND LONGEVITY (NPI 1871013367) is a healthcare organization registered as a clinic/center in Fayetteville, Arkansas and active in the NPI registry since June 2017. The organization lists H. Daniel Atwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1871013367
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHILOH HEALTH AND LONGEVITY
Location Address1794 E JOYCE BLVD STE 1Fayetteville, AR 72703-5257
Mailing Address1794 E Joyce Blvd Ste 1Fayetteville, AR 72703-5257 · (479) 443-7771
Organization SubpartNo
Authorized OfficialH. Daniel AtwoodOwner · (479) 443-7771
Enumeration DateJune 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1871013367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AR · R-3739
Definition

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).

1794 E JOYCE BLVD STE 1, Fayetteville, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871013367, enumerated as an "organization" on June 26, 2017.

The provider is located at 1794 E JOYCE BLVD STE 1 FAYETTEVILLE, AR 72703 and the phone number is (479) 443-7771.

Clinic/Center with taxonomy code 261Q00000X.