NPIMap

Organization Active NPI

Ozark Health, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, AR
National Provider Identifier
1992865513
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
OZARK HEALTH, INC
Practice address
2500 Hwy 65 South
Clinton, AR 72031
Phone
(501) 745-7000
Fax
(501) 745-9741
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

2500 Hwy 65 South
Clinton, AR 72031

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
106200105MedicaidAR
11313OtherARBCBS

Other names 1

  • Ozark Health Swing Bed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000265 AR Part A Provider - Critical Access Hospital 7315923620 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, AR

Hospital certification: CCN 04Z313

Legal name
OZARK HEALTH, INC
Doing business as
OZARK HEALTH SWING BED
Organization structure
CorporationNon-profit
Incorporated
Dec 26, 1968 in AR
Enrollment address
2500 Highway 65 S
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).

National Provider Directory

National Provider Directory
Tax ID family
Ozark Health Medical Center Inc9 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.

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 Aug 1, 2013
Jamie Beavers Individual Corporate OfficerBoard Member Aug 27, 2012
Steve Smith Individual Corporate OfficerBoard Member Aug 22, 2011
Kristi King Individual Corporate Officer Apr 1, 2013
Steve Schoettle Individual Corporate Director Jan 7, 2008
Melvin Morgan Individual Corporate Officer Jan 7, 2008
Marlisa Swofford Individual W-2 Managing Employee Jan 7, 2008
David Deaton Individual Corporate OfficerCeo Jun 25, 2012
Ozark Health, Inc Organization, Clinton, AR 5% Or Greater Direct Ownership Interest Jan 7, 2008
Edna M Prosser Individual W-2 Managing Employee Oct 23, 2012
Cheryl Ragland Individual Corporate OfficerBoard Member Feb 23, 2017

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 Medical CenterClinton, AR, CCN 041313 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 9

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

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1992865513",
    "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",
            "fax_number": "501-745-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HWY 65 SOUTH",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-7000",
            "fax_number": "501-745-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-08-16",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106200105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11313",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Health Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.