Organization
OZARK URGENT CARE AND FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH RUEL FOLEY FNP-BC (CEO)
(123) 456-7891
Entity
Organization
Contact information
Practice address
1997 BATESVILLE BLVD, BATESVILLE, AR 72501-7250
(123) 456-7891
Mailing address
1989 BATESVILLE BLVD, BATESVILLE, AR 72501-7896
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124401104
—
AR
05
—
1245666536
—
AR
05
—
1558655167
—
AR
Enumeration date
03/13/2018
Last updated
11/01/2018
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