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OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT INC. NPI 1750670303


NPI Information

NPI: 1750670303
Provider Name: OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,.

Other Name: OMART, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
116 SNOWBALL DR
GASSVILLE, AR
ZIP 72635
Phone: (870) 435-6200
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OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,. is a substance abuse rehabilitation facility in Gassville, AR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,. NPI is 1750670303. The provider is registered as an organization entity type.
The provider Other Name Is Omart, Inc..

The provider's business location address is:

116 SNOWBALL DR
GASSVILLE, AR
ZIP 72635
Phone: (870) 435-6200

The provider's authorized official is Darlene E Prine .
The authorized official title is Executive Director and has the following contact phone number (870) 435-6200.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 4/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility00059ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D14714OTHERARKANSASSTATE OF ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION

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

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