OZARK MEDICAL CLINIC, LLC (NPI# 1477960581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477960581 |
| Entity Type | Organization |
| Organization Name | OZARK MEDICAL CLINIC, LLC |
| Other Organization Name | OZARK MEDICAL CLINIC - FAIRFIELD BAY |
| Practice Address |
383 Dave Creek Pkwy Fairfield Bay AR 72088-3631 |
| Mailing Address |
2526 Highway 65 S Ste 201 Clinton AR 72031-6678 |
| Practice Telephone | 5017453388 |
| Practice Fax Number | 5017453006 |
| Mailing Telephone | 5017453388 |
| Mailing Fax Number | 5017453006 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DR. KEITH A COWARD (PRESIDENT) |
| Authorized Official Telephone | 5017453388 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ozark Medical Clinic - Fairfield Bay | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366614935 | Ozark Medical Clinic, LLC | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2008-03-24 |
| Street Address |
383 DAVE CREEK PKWY |
| City | FAIRFIELD BAY |
| State | AR |
| Zip Code | 72088-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609036789 | S M Hassan Bashiri | Dentist | 203 Lakeview Dr, Fairfield Bay, AR 72088 | 2008-06-12 |
| 1255429726 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 110 Village Village Place, Fairfield Bay, AR 72088 | 2006-10-10 |
| 1659781151 | Baptist Health | Clinic/Center | 110 Village Ln, Suite 2b, Fairfield Bay, AR 72088 | 2014-05-06 |
| 1033758420 | Jenny Treece | Pharmacist | 367 Dave Creek Parkway, Fairfield, AR 72088-1223 | 2020-01-02 |
| 1861454506 | City of Fairfield Bay | Ambulance | 101 Little Rock Drive, Fairfield Bay, AR 72088-1271 | 2006-04-06 |
| 1780168948 | White River Health System, Inc. | Clinic/Center | 110 Village Pl, Fairfield Bay, AR 72088-2838 | 2018-09-24 |
| 1215066998 | Village Gardens | Assisted Living Facility | 265 Dave Creek Pkwy, Fairfield Bay, AR 72088-3106 | 2007-03-05 |
| 1780633222 | Indian Rock Village, LLC | Nursing Facility/Intermediate Care Facility | 265 Dave Creek Parkway, Fairfield Bay, AR 72088-3136 | 2006-05-10 |
| 1356335566 | Bennett Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 367 Dave Creek Pkwy, Fairfield Bay, AR 72088-3631 | 2005-09-01 |
| 1578758082 | Rebecca M. Mcallister | Physical Therapist | 107 Eagle Ridge Trce, Fairfield Bay, AR 72088-4512 | 2007-09-07 |
| Find all providers in zip 72088 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | FAIRFIELD BAY |
| Zip Code | 72088 |
Please comment or provide details below to improve the information on OZARK MEDICAL CLINIC, LLC.
| 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.