| Ozarks Healthcare Mammoth Spring | |
|
260 S Main Street Mammoth Spring AR 72554-7466 | |
| (870) 625-3228 | |
| (870) 625-3227 |
| Full Name | Ozarks Healthcare Mammoth Spring |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 S Main Street, Mammoth Spring, Arkansas |
| Authorized Official Name and Position | Thomas Keller (PRESIDENT AND CEO) |
| Authorized Official Contact | 4172569111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare Mammoth Spring Po Box 250 Mammoth Spring AR 72554-0250 Ph: (870) 625-3228 | Ozarks Healthcare Mammoth Spring 260 S Main Street Mammoth Spring AR 72554-7466 Ph: (870) 625-3228 |
| NPI Number | 1649306002 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 3870491863 |
|---|---|
| Medicare Enrollment ID | O20080129000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649306002 | NPI | - | NPPES |
| 118737729 | Medicaid | AR | |
| 592966105 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary |
Baxter Health Family Clinic At Mammoth Spring Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Main St Ste 4, Mammoth Spring, AR 72554 Phone: 870-625-3111 | |
Family Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Main St, Ste 4, Mammoth Spring, AR 72554 Phone: 870-625-3111 Fax: 870-625-3118 | |
Cochran Internal Medicine & Endoscopy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 277 Main St, Mammoth Spring, AR 72554 Phone: 417-293-6549 | |
Baxter County Regional Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Main St Ste 4, Mammoth Spring, AR 72554 Phone: 870-625-3111 | |
Baxter Regional Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Main Street, Mammoth Spring, AR 72554 Phone: 870-269-3455 | |
Baxter Health Cochran Internal Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 277 Main Street, Ste 2, Mammoth Spring, AR 72554 Phone: 870-907-7024 |