Ozark Urgent Care and Family Practice LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

OZARK URGENT CARE AND FAMILY PRACTICE LLC

Practice address

1997 Batesville Blvd
Batesville, AR 72501-7250

Phone

(123) 456-7891

NPI assigned

Mar 13, 2018

Last updated

Nov 1, 2018By 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

Mr. Joseph Ruel Foley, FNP-BC

Title

Ceo

Phone

(123) 456-7891

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1407359888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 BATESVILLE BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 BATESVILLE BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017250",
            "telephone_number": "123-456-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK URGENT CARE AND FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "123-456-7891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558655167",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245666536",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124401104",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Batesville, AR
• Providers in Batesville, AR by specialty
• Urgent Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.