Ameris of Osceola LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

AR4260 Issued in AR

Legal business name

AMERIS OF OSCEOLA LLC

Doing business as

SMC Regional Medical Center

Practice address

611 W Lee Ave
Osceola, AR 72370-3001

Phone

(870) 563-7000

Fax

(870) 838-7100

NPI assigned

Sep 30, 2005

Last updated

Aug 22, 2020By the provider in NPPES

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

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225025646",
    "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",
            "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": "870-563-7000",
            "fax_number": "870-838-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIS OF OSCEOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMC Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Access Medical Clinic Arkansas LLC
• Advancedtherapy of Northeast Arkansas,LLC
• Iris Annette Allen, MHPP
• Tim Allen
• Ameris of Arkansas, LLC (Great River Residential Academy)
• Ameris of Osceola,LLC (SMC Regional Medical Center)
• Lisa Austin
• Aaron Baker
• Jaressa Banks
• Gail Renee Barger

• Critical Access Hospital in Osceola, AR
• Providers in Osceola, AR by specialty
• Critical Access Hospital 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.