Organization
OZARK HEALTH, INC
Active
Other names
Ozark Health Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEATON (CEO)
(501) 745-9531
Entity
Organization
Contact information
Practice address
2500 HIGHWAY 65 S, CLINTON, AR 72031-6588
(501) 745-7000
(501) 745-2472
Mailing address
PO BOX 206, CLINTON, AR 72031-0206
(501) 745-7000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
AR4323
AR
282NC0060X
Critical Access Hospital
Primary
AR4237
AR
314000000X
Skilled Nursing Facility
203
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106200105
—
AR
01
—
11313
ARBCBS PROVIDER ID
AR
05
—
119624311
—
AR
05
—
135138514
—
AR
01
—
17167
ARBCBS HOME HEALTH ID
AR
Enumeration date
04/19/2006
Last updated
08/20/2013
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