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OZARK HEALTH INC NPI 1477960581


NPI Information

NPI: 1477960581
Provider Name: OZARK HEALTH, INC

Doing Business As: OZARK MEDICAL CLINIC - FAIRFIELD BAY

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

Specialization: Rural Health

CLIA Number: 04D2093813

Address:
383 DAVE CREEK PKWY
FAIRFIELD BAY, AR
ZIP 72088
Phone: (501) 745-3388
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OZARK HEALTH, INC is a rural health clinic center in Fairfield Bay, AR. OZARK HEALTH, INC NPI is 1477960581. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ozark Medical Clinic - Fairfield Bay.

The provider's business location address is:

383 DAVE CREEK PKWY
FAIRFIELD BAY, AR
ZIP 72088-631
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 04D2093813 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2014 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QR1300XClinic/CenterRural HealthYes

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
1208447002MEDICAIDARKANSAS
2215189729MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.