Organization
SMC REGIONAL MEDICAL CENTER
Active
Parent organization
AMERIS OF OSCEOLA , LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIS OF OSCEOLA , LLC
Authorized official
DAVID LYNN (CFO)
(870) 838-7462
Entity
Organization
Contact information
Practice address
611 W LEE AVE, OSCEOLA, AR 72370-3001
(871) 838-7213
(870) 838-7100
Mailing address
PO BOX 327, BLYTHEVILLE, AR 72316-0327
(870) 838-7213
(870) 838-7100
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR4260
AR
Other
Enumeration date
11/13/2006
Last updated
06/17/2008
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