Ozark Health, Inc
Organization Active NPI Rural Health Clinic/Center · Fairfield Bay, AR
NPI 1477960581 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1477960581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- OZARK HEALTH, INC
- Practice address
- 383 Dave Creek Pkwy
Fairfield Bay, AR 72088-3631 - Phone
- (501) 745-3388
- Fax
- (501) 745-3006
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Danna D Murphree
- Title
- Office Manager
- Phone
- (501) 745-3388
Owners & managing parties with NPI records 2
-
Keith A Coward, MD
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Practitioners 12
-
Keith A Coward, MD
-
Steven A James, MD
-
Chadwick Leon Simpson, M. D.
-
Kimberly Lorene Blake, FNP-C
-
Kayla Michelle Dollar, NP-C
-
Lisa Edwards, APRN
-
Brianna Carol Pate, APN
-
Tanna Shockley, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2093813 | Ozark Medical Clinic-Fairfield Bay | Certificate of waiver | Apr 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR
Rural health clinic certification: CCN 048544
- Legal name
- OZARK HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 1, 2023
- Last certification
- May 14, 2024
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 26, 1968 in AR
- Enrollment address
- 383 Dave Creek Pkwy
Fairfield Bay, AR 72088-3631 - Related CCNs
- 041313
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Rebecca Sutterfield |
W-2 Managing Employee | Jun 6, 2014 | |
| Jamie Beavers |
Corporate Officer | Aug 27, 2012 | |
| Keith a Coward |
Corporate Officer | Oct 1, 2015 | |
| Robin Corley |
Corporate Officer | Aug 1, 2023 | |
| Mike W Lester |
Corporate Officer | May 30, 2019 | |
| Steve Schoettle |
Corporate Officer | Jan 7, 2008 | |
| Melvin Morgan |
Corporate Officer | Jan 7, 2008 | |
| David Deaton |
5% Or Greater Direct Ownership Interest | Jun 25, 2012 | |
| Corporate Officer | Jun 25, 2012 | ||
| Cheryl Ragland |
Corporate Officer | Jan 23, 2017 | |
| William Ioup |
Corporate Officer | Apr 25, 2019 | |
| Shirl Williams |
Corporate Officer | May 30, 2019 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Ozark Health Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 7, 2008 |
| Ozark Health Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 7, 2008 |
| Ozark Health Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest | Jul 7, 1998 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2023 | Change of Ownership |
Ozark Medical Clinic Fairfield Bay |
| Aug 1, 2023 | Change of Ownership |
Ozark Health, Inc |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040628000567 | AR | Part B Supplier - Clinic/Group Practice | 7315923620 |
Receives reassigned benefits from 57 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clinton, AR; Fairfield Bay, AR; Shirley, AR |
| O20080916000561 | AR | Part B Supplier - Clinic/Group Practice | 2769559848 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clinton, AR; Fairfield Bay, AR |
| O20230926000082 | AR | Part a Provider - Rural Health Clinic | 7315923620 | Practice locations: Fairfield Bay, AR |
National Provider Directory
- Tax ID family
- Ozark Health Medical Center Inc
Locations
175 Volunteer Pkwy
Clinton, AR 72031
Phone (501) 745-3033
390 Factory Rd
Ste B
Clinton, AR 72031
Phone (501) 745-2999
2526 Highway 65 S
Ste 201
Clinton, AR 72031
Phone (501) 745-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
383 Dave Creek Pkwy
Fairfield Bay, AR 72088-3631
Mailing address
PO Box 206
Clinton, AR 72031-0206
Phone (501) 745-9524
Other names
- Ozark Medical Clinic - Fairfield Bay
Other providers in Fairfield Bay, AR
- Indian Rock Healthcare LLC
- Indian Rock Healthcare LLC
- Indian Rock Village, LLC
- Jodi Marie Keller
- Samantha Rose O'Neal
- Village Gardens
- Stephanie Walters
All providers in Fairfield Bay, AR · Rural Health Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.