Ameris of Osceola,LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

AR4260 Issued in AR

Legal business name

AMERIS OF OSCEOLA,LLC

Practice address

611 W Lee Ave
Osceola, AR 72370-3001

Phone

(870) 563-7200

Fax

(870) 838-7100

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Lynn

Title

Cfo

Phone

(870) 838-7462

Specialties & licenses 1

Addresses

Other names 1

• SMC Regional Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003970872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723160327",
            "telephone_number": "870-838-7300",
            "fax_number": "870-838-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W LEE AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703001",
            "telephone_number": "870-563-7200",
            "fax_number": "870-838-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIS OF OSCEOLA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-838-7462"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AR",
            "license": "AR4260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMC Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advancedtherapy of Northeast Arkansas,LLC
• Iris Annette Allen, MHPP
• Tim Allen
• Ameris of Arkansas, LLC
• Ameris of Osceola LLC
• Lisa Austin
• Aaron Baker
• Jaressa Banks
• Gail Renee Barger
• Matthew Grant Barnett, MHPP

• Medicare Defined Swing Bed Hospital Unit in Osceola, AR
• Providers in Osceola, AR by specialty
• Medicare Defined Swing Bed Hospital Unit in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.