NPIMap

Ozark Health, Inc

Organization Active NPI Critical Access Hospital · Clinton, AR

NPI 1992760342 · NPPES record last updated Aug 20, 2013

Key facts

NPI
1992760342
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
AR4237 (AR)
Legal business name
OZARK HEALTH, INC
Practice address
2500 Highway 65 S
Clinton, AR 72031-6588
Phone
(501) 745-7000
Fax
(501) 745-2472
NPI assigned
Apr 19, 2006
Organization subpart
No

Authorized official

Name
David Deaton
Title
Ceo
Phone
(501) 745-9531

Owners & managing parties with NPI records 7

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 8

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

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

Affiliated clinicians 110

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 110

Medicare Care Compare: Hospital

Listed as
Ozark Health CCN 041313
Overall star rating
★★★★☆ 4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Hospital certification: CCN 041313

Legal name
OZARK HEALTH, INC
Doing business as
OZARK HEALTH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2001
Last certification
Jan 28, 2022
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Dec 26, 1968 in AR
Enrollment address
2500 Highway 65 South
Ozark Health Medical Center
Clinton, AR 72031-6588
Other Hospital Practice Location

All disclosed owners & managing parties 10

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 1, 2013
Jamie Beavers
Individual 		Corporate Officer Aug 27, 2012
Steve Smith
Individual 		Corporate Officer Aug 22, 2011
Kristi King
Individual 		W-2 Managing Employee Jun 1, 2013
Steve Schoettle
Individual 		Corporate Officer Jan 7, 2008
Melvin Morgan
Individual 		Corporate Officer Jan 7, 2008
David Deaton
Individual 		Corporate Officer Jun 25, 2012
Ozark Health, Inc
Organization · Clinton, AR 		5% Or Greater Direct Ownership Interest Jan 7, 2008
John William Hastings
Individual 		Corporate Officer Feb 13, 2006
Shirl Williams
Individual 		Corporate Officer Jan 7, 2008

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ozark Health Swing Bed
Clinton, AR · CCN 04Z313		 Hospital 5% Or Greater Direct Ownership Interest Jan 7, 2008
Ozark Health Home Health
Clinton, AR · CCN 047167		 Home health agency 5% Or Greater Direct Ownership Interest Jul 7, 1998

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040929000620 AR Part a Provider - Critical Access Hospital 7315923620 Receives reassigned benefits from 42 practitioners
Practice locations: Clinton, AR

National Provider Directory

Tax ID family
Ozark Health Medical Center Inc (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4323 AR
Critical Access Hospital 282NC0060X AR4237 AR Yes
Skilled Nursing Facility 314000000X 203 AR

Addresses

Primary practice location

2500 Highway 65 S
Clinton, AR 72031-6588

Mailing address

PO Box 206
Clinton, AR 72031-0206
Phone (501) 745-7000

Other identifiers

IdentifierTypeStateIssuer
11313OtherARARBCBS PROVIDER ID
119624311MedicaidAR
17167OtherARARBCBS HOME HEALTH ID
106200105MedicaidAR
135138514MedicaidAR

Other names

  • Ozark Health Medical Center Doing business as

Other providers in Clinton, AR

All providers in Clinton, AR · Critical Access Hospital in Arkansas

Sources for this page

Verify at the official NPI Registry.