Active NPI
Gregory Lance Bush
- Case Manager/Care Coordinator
- Ozark, AR
National Provider Identifier
1780242727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- Hwy 23 N & 980 Airport Rd
Ozark, AR 72949-3611 - Phone
- (479) 785-9450
- Fax
- (479) 452-5847
- NPI assigned
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
Hwy 23 N & 980 Airport Rd
Ozark, AR 72949-3611
Mailing address
PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Counseling & Guidance Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fort Smith, AR
- NPI 1326040692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1780242727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11818",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171818",
"telephone_number": "479-452-6650",
"fax_number": "479-452-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 23 N & 980 AIRPORT RD",
"city": "OZARK",
"state": "AR",
"postal_code": "729493611",
"telephone_number": "479-785-9450",
"fax_number": "479-452-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "GREGORY",
"middle_name": "LANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2024-02-26",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.