OZARKS MEDICAL CENTER NPI 1649306002

NPI Information

NPI: 1649306002
Provider Name: OZARKS MEDICAL CENTER

Doing Business As: OZARKS HEALTHCARE MAMMOTH SPRING

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
260 S MAIN STREET
MAMMOTH SPRING, AR
ZIP 72554
Phone: (870) 625-3228
Get Directions

OZARKS MEDICAL CENTER is a rural health clinic center in Mammoth Spring, AR. OZARKS MEDICAL CENTER NPI is 1649306002. The provider is registered as an organization entity type.
The provider Is Doing Business As Ozarks Healthcare Mammoth Spring.

The provider's business location address is:

260 S MAIN STREET
MAMMOTH SPRING, AR
ZIP 72554-466
Phone: (870) 625-3228
Fax: (870) 625-3227

The provider's authorized official is Thomas Keller .
The authorized official title is President And Ceo and has the following contact phone number (417) 256-9111.

The CLIA number assigned to this NPI record is 04D2171284 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	17447	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	118737729	MEDICAID	ARKANSAS
2	592966105	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »