Ozark Mobility Nemt, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

OZARK MOBILITY NEMT, LLC

Practice address

12 W Dickson St Ste 126
Fayetteville, AR 72701-5217

Phone

(479) 437-7345

Fax

(844) 552-5144

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Juan Mercado

Title

Operations Manager/Owner

Phone

(479) 437-7345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1336759174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W DICKSON ST STE 126",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015217",
            "telephone_number": "479-437-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W DICKSON ST STE 126",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015217",
            "telephone_number": "479-437-7345",
            "fax_number": "844-552-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK MOBILITY NEMT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER/OWNER",
        "authorized_official_telephone_number": "479-437-7345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Non-emergency Medical Transport (VAN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.