OZARK MEDICAL CLINIC, LLC (NPI# 1366614935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366614935 |
| Entity Type | Organization |
| Organization Name | OZARK MEDICAL CLINIC, LLC |
| Other Organization Name | OZARK MEDICAL AND PEDIATRIC CLINIC |
| Practice Address |
2526 Highway 65 S Suite 201 Clinton AR 72031-6657 |
| Mailing Address |
11001 Executive Center Drive Suite 200 Little Rock AR 72211-4393 |
| Practice Telephone | 5018453388 |
| Practice Fax Number | 5017453006 |
| Mailing Telephone | 5018127800 |
| Mailing Fax Number | 5018127207 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | MR. TOMMY JOHNSON (RPA) |
| Authorized Official Telephone | 5018127514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169596002 | 05 |
| Other Name | Type Code |
|---|---|
| Ozark Medical and Pediatric Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477960581 | Ozark Medical Clinic, LLC | Family Medicine | 383 Dave Creek Pkwy, Fairfield Bay, AR 72088-3631 | 2014-07-21 |
| Street Address |
2526 HIGHWAY 65 S SUITE 201 |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982871 | Keith A Coward | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2005-06-16 |
| 1265068019 | Amy Shaw | Counselor | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2020-03-12 |
| 1235624875 | Clinton Butler, LLC | Durable Medical Equipment & Medical Supplies | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2018-06-26 |
| 1487191987 | Tanna Shockley | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2017-01-23 |
| 1285090647 | Crystal Mcmahan | Nurse Practitioner | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2016-01-14 |
| 1437526241 | Lisa Edwards | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2015-08-27 |
| 1114318532 | Kyle Cotton | Physician Assistant | 2526 Highway 65 S, Clinton, AR 72031 | 2015-02-06 |
| 1710387584 | Alternative Oppurtunities | Community/Behavioral Health | 2526 Highway 65 S, Ste 202, Clinton, AR 72031-6657 | 2014-08-29 |
| 1144466970 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2008-12-29 |
| 1013190040 | Cheryl L Winningham | Case Manager/Care Coordinator | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942226212 | Physicians Medical Group Plc | Clinic/Center | 145 Shakerag Rd, Clinton, AR 72031-6678 | 2006-07-13 |
| 1003873266 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N. 2nd Street, Clinton, MO 64735-3201 | 2006-04-28 |
| 1396713079 | Hospital of Fulton Inc | Clinic/Center | 106 W Clay St, Clinton, KY 42031-1317 | 2006-03-09 |
| 1285286138 | Clinton Hma LLC | Clinic/Center | 209 S 30th St, Clinton, OK 73601-3657 | 2019-07-11 |
| 1386171460 | Clinton Hma LLC | Clinic/Center | 123 S 9th St, Clinton, OK 73601-3328 | 2017-05-19 |
| 1134512395 | Prisma Health-upstate | Clinic/Center | 210 S Broad St, Clinton, SC 29325-2505 | 2015-03-12 |
| 1013245471 | Hope Medical Clinic Inc | Clinic/Center | 145 Shake Rag Rd, Clinton, AR 72031-6682 | 2009-11-24 |
| 1811174402 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2008-01-25 |
| 1366504565 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1265421861 | Conway Regional Medical Center Inc. | Clinic/Center | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2005-10-17 |
| Find all providers in CLINTON | ||||
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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.