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CAH041313-02 OZARK HEALTH INC (Approved)
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Main Details
Name
OZARK HEALTH INC
Subdivision Name
OZARK MEDICAL CLINIC FAIRFIELD BAY - OZARK MEDICAL CLINIC FAIRFIELD BAY
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041313-02
Medicare Provider Number
041313
Outpatient Facility Provider Number
048544
Additional Details
Current Program Status
Approved
Registration Date
4/4/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/7/2025
Last Recertification Date
Contacts
Authorizing Official
Ozark Health Medical Center
Robin Corley, CFO
(501) 745-9302
Primary Contact
Ozark Health Medical Center
Annice Craig, PHARMACIST
(501) 745-9587
Addresses
Street Address
383 DAVE CREEK PKWY
FAIRFIELD BAY, AR 72088-3631
Billing Address
OZARK MEDICAL CLINIC FAIRFIELD BAY
P.O. BOX 206
CLINTON, AR 72031
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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