OUACHITA COUNTY MEDICAL CENTER (NPI# 1104858208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104858208 |
| Entity Type | Organization |
| Organization Name | OUACHITA COUNTY MEDICAL CENTER |
| Other Organization Name | SPARKMAN COMMUNITY CLINIC |
| Practice Address |
104 W Taylor St Sparkman AR 71763 |
| Mailing Address |
P.o. Box 797 Camden AR 71711 |
| Practice Telephone | 8708361387 |
| Practice Fax Number | 8708361548 |
| Mailing Telephone | 8708361387 |
| Mailing Fax Number | 8708361548 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MR. ROBERT J ANDERS (CFO) |
| Authorized Official Telephone | 8708361387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SPARKMAN COMMUNITY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265471064 | Ouachita County Medical Center | Hospice Care, Community Based | 685 California Ave Sw, Camden, AR 71701-4637 | 2006-06-06 |
| 1972541159 | Ouachita County Medical Center | Clinic/Center | 104 W Taylor St, Sparkman, AR 71763 | 2006-06-02 |
| 1740227370 | Ouachita County Medical Center | Clinic/Center | 113 W Ruby Street, Stephens, AR 71764 | 2006-06-01 |
| 1710597778 | Ouachita County Medical Center | Pharmacy | 638 California Ave Sw, Camden, AR 71701-4604 | 2020-08-05 |
| 1780039206 | Ouachita County Medical Center | Clinic/Center | 415 Hospital Dr, Camden, AR 71701-4615 | 2016-05-03 |
| 1013194521 | Ouachita County Medical Center | Clinic/Center | 638 California Ave Sw, Camden, AR 71701-4604 | 2008-01-28 |
| 1043495013 | Ouachita County Medical Center | Clinic/Center | 638 California Ave Sw, Camden, AR 71701-4604 | 2008-01-08 |
| 1346354826 | Ouachita County Medical Center | Clinic/Center | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-08-19 |
| 1285666388 | Ouachita County Medical Center | Home Health | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-07-07 |
| 1093747198 | Ouachita County Medical Center | Home Health | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-07-07 |
| Street Address |
104 W TAYLOR ST |
| City | SPARKMAN |
| State | AR |
| Zip Code | 71763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972541159 | Ouachita County Medical Center | Clinic/Center | 104 W Taylor St, Sparkman, AR 71763 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215124359 | Angela Michelle Robbins | Technician | 1755 N. Hwy. 7, Sparkman, AR 71763 | 2007-10-03 |
| 1245453455 | Sparkman Learning Center Inc. | Day Training, Developmentally Disabled Services | 108 Porter, Sparkman, AR 71763-0173 | 2007-04-10 |
| 1518280585 | Stephanie Diane Hebert | Counselor | 328 Dallas 232, Sparkman, AR 71763-8732 | 2010-03-05 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972541159 | Ouachita County Medical Center | Clinic/Center | 104 W Taylor St, Sparkman, AR 71763 | 2006-06-02 |
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|---|---|---|---|---|
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.