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 J.D. (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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
AR4517
AR
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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