OZARK HEALTH INC NPI 1366614935

NPI Information

NPI: 1366614935
Provider Name: OZARK HEALTH, INC

Doing Business As: OZARK MEDICAL AND PEDIATRIC CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
390 FACTORY RD STE B
CLINTON, AR
ZIP 72031
Phone: (501) 745-3388
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OZARK HEALTH, INC is a rural health clinic center in Clinton, AR. OZARK HEALTH, INC NPI is 1366614935. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ozark Medical And Pediatric Clinic.

The provider's business location address is:

390 FACTORY RD STE B
CLINTON, AR
ZIP 72031-088
Phone: (501) 745-3388
Fax: (501) 745-3006

The provider's authorized official is Rebecca Gentry .
The authorized official title is Accounting Specialist and has the following contact phone number (501) 745-9524.

The CLIA number assigned to this NPI record is 04D1082685 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 8/9/2023.

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	Primary
1	207R00000X	Internal Medicine		No
2	208000000X	Pediatrics		No
3	261QR1300X	Clinic/Center	Rural Health	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	186484729	MEDICAID	ARKANSAS
2	169596002	MEDICAID	ARKANSAS

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: 5/5/2024

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