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CAH041331-06 OZARKS COMMUNITY HOSPITAL OF GRAVETT (Active)
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Main Details
Name
OZARKS COMMUNITY HOSPITAL OF GRAVETT
Subdivision Name
SGOH ACQUISITION, INC. - OCH WELLPOINTE FAMILY MEDICAL CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041331-06
Medicare Provider Number
041331
Outpatient Facility Provider Number
268672
Additional Details
Current Program Status
Active
Registration Date
1/5/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/10/2022
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
OZARKS COMMUNITY HOSPITAL
PAUL GREGORY TAYLOR, CEO
(417) 837-2012
Primary Contact
OZARKS COMMUNITY HOSPITAL
LINDA JANE REID, MEDICAL STAFF DIRECTOR
(417) 837-4004
Addresses
Street Address
543 W HUBBLE DR
MARSHFIELD, MO 65706-1532
Billing Address
SGOH ACQUISITION, INC.
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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