Organization
SGOH ACQUISITION INC
Active
Parent organization
SGOH ACQUISITION INC
Other names
OZARKS COMMUNITY HOSPITAL OF GRAVETTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SGOH ACQUISITION INC
Authorized official
PAUL G TAYLOR (CEO)
(417) 837-4090
Entity
Organization
Contact information
Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(479) 787-7890
Mailing address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(479) 787-7890
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
AR4517
AR
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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