Provider Demographics
NPI:1891573523
Name:OZARK HEALTH, INC
Entity Type:Organization
Organization Name:OZARK HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-745-9524
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:AR
Mailing Address - Zip Code:72031-0206
Mailing Address - Country:US
Mailing Address - Phone:501-745-9524
Mailing Address - Fax:501-745-9741
Practice Address - Street 1:199 SCHOOL DR
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:AR
Practice Address - Zip Code:72153-7566
Practice Address - Country:US
Practice Address - Phone:501-723-4400
Practice Address - Fax:501-745-9741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health