SGOH ACQUISITION INC (NPI# 1780943357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780943357 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION INC |
| Other Organization Name | OZARKS COMMUNITY HOSPITAL OF GRAVETTE |
| Practice Address |
1101 Jackson St Sw Gravette AR 72736-9121 |
| Practice Telephone | 4797875291 |
| Practice Fax Number | 4797877890 |
| Mailing Telephone | 4797875291 |
| Mailing Fax Number | 4797877890 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | PAUL G TAYLOR (CEO) |
| Authorized Official Telephone | 4178374090 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SGOH ACQUISITION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | AR4517 | AR | Hospital Units |
| Other Name | Type Code |
|---|---|
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1942335203 | Sgoh Acquisition Inc | Clinic/Center | 101 South Main, Rogersville, MO 65742 | 2007-02-23 |
| 1356588255 | Sgoh Acquisition Inc | Psychiatric Unit | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2009-01-14 |
| 1568643005 | Sgoh Acquisition Inc | Clinic/Center | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2007-11-26 |
| 1568502631 | Sgoh Acquisition Inc | Clinic/Center | 108 S Hickory St, Mount Vernon, MO 65712-1407 | 2007-02-07 |
| 1982744983 | Sgoh Acquisition Inc | Psychiatric Unit | 2828 N National Ave, Springfield, MO 65803-4306 | 2007-02-07 |
| 1114924768 | Sgoh Acquisition Inc | Psychiatric Hospital | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-28 |
| Street Address |
1101 JACKSON ST SW |
| City | GRAVETTE |
| State | AR |
| Zip Code | 72736-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151408 | Ashley Kent Stone | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-02-06 |
| 1649878042 | Kayla Lorraine Bradford | Social Worker | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2020-10-16 |
| 1184284473 | Gregory Scott Forrester | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2019-06-18 |
| 1912422486 | Carla Sawatski Cheek | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1831614312 | Samantha Jean Eaton | Physical Therapy Assistant | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1336664812 | Amber Michelle Karr | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1093105918 | Amelia Dee Jackson | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2015-01-30 |
| 1699039610 | Vijay Kumar Kannam | Family Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-06-25 |
| 1407122179 | Tracy Leigh Lowry | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-03-28 |
| 1144519570 | Rhonda Renee Pauls | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487961322 | Ty D Russell | Chiropractor | 207 Atlanta Street S.e., Gravette, AR 72736 | 2010-09-13 |
| 1558673285 | Joy Ann Coonfield | Midwife, Lay | 14195 Strawberry Ridge Road, Gravette, AR 72736 | 2010-07-10 |
| 1932305349 | City of Gravette | Ambulance | 309 1st Ave Nw, Gravette, AR 72736 | 2007-06-22 |
| 1669580163 | Arthur F Evans | Dentist | 1102 Jackson Sw, Gravette Mercy Medical Clinic Bldg, Gravette, AR 72736 | 2006-08-26 |
| 1962948380 | Adonia Holden-dunivan | Counselor | 1102 Jackson St Sw, Gravette, AR 72736 | 2017-01-09 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1073663001 | Gravette School District | Local Education Agency (LEA) | 609 Birmingham St Se, Gravette, AR 72736-8701 | 2007-01-11 |
| 1679649339 | Austin Drugs Inc | Pharmacy | 118 Main St Ne, Gravette, AR 72736-8719 | 2006-11-27 |
| 1649838335 | James Harold Austin | Pharmacist | 118 Main St Ne, Gravette, AR 72736-8719 | 2019-05-29 |
| 1730795451 | Bailey Boatright | Speech-Language Pathologist | 500 8th Ave Se, Gravette, AR 72736-8742 | 2020-09-17 |
| Find all providers in zip 72736 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395969 | City of Pocahontas Ar | Medicare Defined Swing Bed Unit | 2801 Medical Center Drive, Pocahontas, AR 72455-9436 | 2007-09-24 |
| 1992865513 | Ozark Health, Inc | Medicare Defined Swing Bed Unit | 2500 Hwy 65 South, Clinton, AR 72031 | 2006-12-12 |
| 1598842643 | Booneville Community Hospital, Inc | Medicare Defined Swing Bed Unit | 880 West Main, Booneville, AR 72927-0290 | 2006-11-01 |
| 1609811827 | Baptist Health | Medicare Defined Swing Bed Unit | 1800 Bypass Road, Heber Springs, AR 72543 | 2006-06-19 |
| 1881635993 | Izard County Medical Center, LLC | Medicare Defined Swing Bed Unit | 61 Grasse St, Calico Rock, AR 72519-0438 | 2006-06-09 |
| 1902862915 | White River Health System, Inc | Medicare Defined Swing Bed Unit | 2106 E. Main St., Mountain View, AR 72560-6439 | 2006-04-26 |
| 1093336026 | Magnolia Regional Health System Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1538796651 | Eureka Springs Hospital Commission | Medicare Defined Swing Bed Unit | 24 Norris St, Eureka Springs, AR 72632-3541 | 2020-03-26 |
| 1407369390 | Siloam Springs Arkansas Hospital Company LLC | Medicare Defined Swing Bed Unit | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-11-14 |
| 1649724261 | Baptist Health | Medicare Defined Swing Bed Unit | 1001 Schneider Dr, Malvern, AR 72104-4811 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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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.