NPIMap

Organization Active NPI

Ozark Health, Inc

Doing business as Ozark Health Medical Center

  • Critical Access Hospital
  • Clinton, AR
National Provider Identifier
1992760342
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR4237 Issued in AR
Legal business name
OZARK HEALTH, INC
Doing business as
Ozark Health Medical Center
Practice address
2500 Highway 65 S
Clinton, AR 72031-6588
Phone
(501) 745-7000
Fax
(501) 745-2472
NPI assigned
Apr 19, 2006
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4323 AR
Critical Access Hospital 282NC0060X AR4237 AR Primary
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 5

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

Other names 1

  • Ozark Health Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992760342. Details of each certification follow.

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
CorporationNon-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

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ozark HealthCCN 041313 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

Ownership & related parties

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

Owners & managing parties with NPI records 7

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

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 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 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

Affiliated clinicians 110

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

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1992760342",
    "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": "501-745-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHWAY 65 S",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316588",
            "telephone_number": "501-745-7000",
            "fax_number": "501-745-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-745-9531"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4323",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4237",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119624311",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBCBS PROVIDER ID",
            "identifier": "11313",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135138514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBCBS HOME HEALTH ID",
            "identifier": "17167",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106200105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.