NPIMap

Organization Active NPI

Ozark Health, Inc

Doing business as Ozark Medical Clinic - Fairfield Bay

  • Rural Health Clinic/Center
  • Fairfield Bay, AR
National Provider Identifier
1477960581
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OZARK HEALTH, INC
Doing business as
Ozark Medical Clinic - Fairfield Bay
Practice address
383 Dave Creek Pkwy
Fairfield Bay, AR 72088-3631
Phone
(501) 745-3388
Fax
(501) 745-3006
NPI assigned
Jul 21, 2014
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Danna D Murphree
Title
Practice Manager
Phone
(501) 745-3388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Ozark Medical Clinic - Fairfield Bay Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477960581. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Dec 26, 1968 in AR
Enrollment address
383 Dave Creek Pkwy
Fairfield Bay, AR 72088-3631
Related CCNs
041313

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2093813Ozark Medical Clinic-Fairfield Bay383 Dave Creek Parkway, Fairfield Bay, AR 72088Certificate of waiverApr 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
William Berry9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

383 Dave Creek Pkwy
Fairfield Bay, AR 72088
Phone (501) 745-3388

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rebecca Sutterfield Individual W-2 Managing Employee Jun 6, 2014
Jamie Beavers Individual Corporate Officer Aug 27, 2012
Keith a Coward Individual Corporate Officer Oct 1, 2015
Robin Corley Individual Corporate Officer Aug 1, 2023
Mike W Lester Individual Corporate Officer May 30, 2019
Steve Schoettle Individual Corporate Officer Jan 7, 2008
Melvin Morgan Individual Corporate Officer Jan 7, 2008
David Deaton Individual 5% Or Greater Direct Ownership Interest Jun 25, 2012
Corporate Officer Jun 25, 2012
Cheryl Ragland Individual Corporate Officer Jan 23, 2017
William Ioup Individual Corporate Officer Apr 25, 2019
Shirl Williams Individual Corporate Officer May 30, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ozark Health Medical CenterClinton, AR, CCN 041313 Hospital 5% Or Greater Direct Ownership Interest Jan 7, 2008
Ozark Health Swing BedClinton, AR, CCN 04Z313 Hospital 5% Or Greater Direct Ownership Interest Jan 7, 2008
Ozark Health Home HealthClinton, AR, CCN 047167 Home health agency 5% Or Greater Direct Ownership Interest Jul 7, 1998

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 2

DateEventCounterparty
Aug 1, 2023 Change of OwnershipThis provider was the buyer Ozark Medical Clinic Fairfield BayCCN 043883, AR, NPI 1477960581
Aug 1, 2023 Change of OwnershipThis provider was the seller Ozark Health, IncCCN 048544, AR, NPI 1477960581

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1477960581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720310206",
            "telephone_number": "501-745-9524",
            "fax_number": "501-745-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 DAVE CREEK PKWY",
            "city": "FAIRFIELD BAY",
            "state": "AR",
            "postal_code": "720883631",
            "telephone_number": "501-745-3388",
            "fax_number": "501-745-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "MURPHREE",
        "authorized_official_first_name": "DANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "501-745-3388"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Medical Clinic - Fairfield Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozark Medical Clinic - Fairfield Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield Bay, AR

Sources for this page

Verify at the official NPI Registry.