Ouachita County Medical Center
Organization Active NPI Clinic/Center · Stephens, AR
NPI 1740227370 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1740227370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- OUACHITA COUNTY MEDICAL CENTER
- Practice address
- 113 W Ruby Street
Stephens, AR 71764 - Phone
- (870) 786-9114
- Fax
- (870) 836-1358
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert J Anders
- Title
- Cfo
- Phone
- (870) 836-1387
Other NPIs on the same Medicare enrollment 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080813000469 | AR | Part B Supplier - Clinic/Group Practice | 4587641055 |
Receives reassigned benefits from 94 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camden, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
113 W Ruby Street
Stephens, AR 71764
Mailing address
PO Box 797
Camden, AR 71711-0797
Phone (870) 836-1000
Other names
- STEPHENS COMMUNITY CLINIC
Other providers in Stephens, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2007. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.