Ozarks Community Hospital Of Gravette

LBN: Sgoh Acquisition Inc
Ozarks Community Hospital Of Gravette is an health care organization with primary practice located at 1101 Jackson St Sw , Gravette AR 72736-9121. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Critical Access Hospital, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Sgoh Acquisition Inc can be contacted via phone (479) 787-5291, or through Taylor, Paul Gregory via phone (417) 837-2000.

Contact Information

Primary practice address
1101 Jackson St Sw Gravette AR 72736-9121
Phone: (479) 787-5291
Fax: (479) 344-6404
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Paul Gregory
Phone: (417) 837-2000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X AR4517 Arkansas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X AR4517 Arkansas
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X AR4517 Arkansas
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1568643005
LBN Legal business name Sgoh Acquisition Inc
DBA Doing business as Ozarks Community Hospital Of Gravette
Authorized official Taylor, Paul Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2007
Last updated Jul 16th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568643005 NPPES
Oklahoma MEDICAID 200200390A
Oklahoma MEDICAID 1568643005
Oklahoma MEDICAID 168370105

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