Healthcare Provider Details

I. General information

NPI: 1609061035
Provider Name (Legal Business Name): OZARK HEALTH MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HWY 65 SOUTH
CLINTON AR
72031
US

IV. Provider business mailing address

PO BOX 206
CLINTON AR
72031-0206
US

V. Phone/Fax

Practice location:
  • Phone: 501-745-7004
  • Fax: 501-745-4203
Mailing address:
  • Phone: 501-745-7004
  • Fax: 501-745-4203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberAR4237
License Number StateAR

VIII. Authorized Official

Name: MR. HERBERT KIRK REAMEY
Title or Position: CEO
Credential:
Phone: 501-745-9502