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04D2132593 CLIA NUMBER - PACE OF THE OZARKS WASHINGTON REGIONAL

Laboratory Demographics

CLIA Number: 04D2132593

Facility Name: PACE OF THE OZARKS WASHINGTON REGIONAL

Facility Address:
813 FOUNDERS PARK DRIVE EAST, SUITE 107
SPRINGDALE, AR
ZIP 72762
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Facility Phone Number: 479 463-6600

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1366929846

Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

CLIA Record

Field Name Field Value
CLIA Number 04D2132593
LAB Type Practitioner Other
Facility Name PACE OF THE OZARKS WASHINGTON REGIONAL
Street 813 FOUNDERS PARK DRIVE EAST, SUITE 107
City SPRINGDALE
State AR
ZIP 72762
Phone 479 463-6600
CertificateType 4
CertificateEffectiveDate 6/22/2023
CertificateExpirationDate 6/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024