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SGOH ACQUISITION INC NPI 1780943357


NPI Information

NPI: 1780943357
Provider Name: SGOH ACQUISITION INC

Doing Business As: OZARKS COMMUNITY HOSPITAL OF GRAVETTE

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1101 JACKSON ST SW
GRAVETTE, AR
ZIP 72736
Phone: (479) 787-5291
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SGOH ACQUISITION INC is a medicare defined swing bed unit in Gravette, AR. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. SGOH ACQUISITION INC NPI is 1780943357. The provider is registered as an organization entity type.
The provider Is Doing Business As Ozarks Community Hospital Of Gravette.

The provider's business location address is:

1101 JACKSON ST SW
GRAVETTE, AR
ZIP 72736-121
Phone: (479) 787-5291
Fax: (479) 787-7890

The provider's authorized official is Paul G Taylor .
The authorized official title is Ceo and has the following contact phone number (417) 837-4090.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 5/16/2012.


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
1275N00000XMedicare Defined Swing Bed UnitAR4517ARKANSASYes

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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