Active NPI
Ouachita County Medical Center
Doing business as Sparkman Community Clinic
- Clinic/Center
- Sparkman, AR
National Provider Identifier
1104858208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- OUACHITA COUNTY MEDICAL CENTER
- Doing business as
- Sparkman Community Clinic
- Practice address
- 104 W Taylor St
Sparkman, AR 71763 - Phone
- (870) 836-1387
- Fax
- (870) 836-1548
- NPI assigned
- Jul 7, 2006
- Last updated
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert J Anders
- Title
- Cfo
- Phone
- (870) 836-1387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
104 W Taylor St
Sparkman, AR 71763
Mailing address
P.O. Box 797
Camden, AR 71711
Phone (870) 836-1387
Other names 1
- SPARKMAN COMMUNITY CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Ouachita County Medical Center
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Camden, AR
- NPI 1265471064
-
- Radiology Clinic/Center
- Camden, AR
- NPI 1043495013
-
dba Stephens Community Clinic
- Rural Health Clinic/Center
- Stephens, AR
- NPI 1225078884
-
- Emergency Care Clinic/Center
- Camden, AR
- NPI 1346354826
-
- Rural Acute Care Hospital
- Camden, AR
- NPI 1619917333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1104858208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 797",
"city": "CAMDEN",
"state": "AR",
"postal_code": "71711",
"telephone_number": "870-836-1387",
"fax_number": "870-836-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W TAYLOR ST",
"city": "SPARKMAN",
"state": "AR",
"postal_code": "71763",
"telephone_number": "870-836-1387",
"fax_number": "870-836-1548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUACHITA COUNTY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "ANDERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "870-836-1387",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPARKMAN COMMUNITY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sparkman, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.