Basic Information
| Provider Information | |||||||||
| NPI: | 1821524034 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OZARKS COMMUNITY HOSPITAL, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | OZARKS COMMUNITY HOSPITAL OF SPRINGFIELD | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2828 N NATIONAL AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658034306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178374000 | ||||||||
| FaxNumber: | 4178754710 | ||||||||
| Practice Location | |||||||||
| Address1: | 2828 N NATIONAL AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658034306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178374000 | ||||||||
| FaxNumber: | 4178754710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2017 | ||||||||
| LastUpdateDate: | 05/08/2017 | ||||||||
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| AuthorizedOfficialLastName: | TAYLOR | ||||||||
| AuthorizedOfficialFirstName: | PAUL | ||||||||
| AuthorizedOfficialMiddleName: | G | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 4178374000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | JD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.