Provider Demographics
NPI:1598972853
Name:OZARKS REGIONS HEALTH SYSTEMS
Entity Type:Organization
Organization Name:OZARKS REGIONS HEALTH SYSTEMS
Other - Org Name:ST JOHNS REGIONAL MEDICAL RENTALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-423-5293
Mailing Address - Street 1:603 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72616-5013
Mailing Address - Country:US
Mailing Address - Phone:870-423-5293
Mailing Address - Fax:
Practice Address - Street 1:603 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72616-5013
Practice Address - Country:US
Practice Address - Phone:870-423-5293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0936840002Medicare NSC
AR0936840001Medicare ID - Type Unspecified