SGOH ACQUISITION INC NPI 1568643005

NPI Information

  • NPI: 1568643005
  • Provider Name: SGOH ACQUISITION INC
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Doing Business As: OZARKS COMMUNITY HOSPITAL OF GRAVETTE
  • CLIA Number: 04D1081363
  • Address: 1101 JACKSON ST SW
    GRAVETTE, AR
    ZIP 72736
  • Phone: (479) 787-5291

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NPI Details

SGOH ACQUISITION INC is a critical access general acute care hospital in Gravette, AR. SGOH ACQUISITION INC NPI is 1568643005. The provider is registered as an organization entity type and is a multiple single specialty group.
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) 344-6404

The provider's authorized official is Paul Gregory Taylor .
The authorized official title is Administrator/ceo and has the following contact phone number (417) 837-2000.

The CLIA number assigned to this NPI record is 04D1081363 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 7/16/2024.

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 License Number License State Primary
1103T00000XPsychologistAR4517ARKANSASNo
2213E00000XPodiatristAR4517ARKANSASNo
3261Q00000XClinic/CenterNo
4261QC0050XClinic/CenterCritical Access HospitalAR4517ARKANSASNo
5282NC0060XGeneral Acute Care HospitalCritical AccessYes

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
1200200390AMEDICAIDOKLAHOMA
21568643005MEDICAIDMISSOURI
3168370105MEDICAIDARKANSAS

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: 11/21/2025

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