Organization
SGOH ACQUISITION INC
Active
Other names
OZARKS COMMUNITY HOSPITAL OF GRAVETTE
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GREGORY TAYLOR (ADMINISTRATOR/CEO)
(417) 837-2000
Entity
Organization
Contact information
Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(479) 344-6404
Mailing address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(417) 832-9041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
AR4517
AR
213E00000X
Podiatrist
AR4517
AR
261Q00000X
Clinic/Center
—
—
261QC0050X
Critical Access Hospital Clinic/Center
AR4517
AR
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568643005
—
MO
05
—
168370105
—
AR
05
—
200200390A
—
OK
Enumeration date
11/26/2007
Last updated
07/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us