Physicians Medical Center Of The Ozarks

LBN: Stacey M Johnson Md Pa
Physicians Medical Center Of The Ozarks is an health care organization with primary practice located at # 17 Medical Plaza , Mountain Home AR 72653. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Stacey M Johnson Md Pa can be contacted via phone (870) 425-6212, or through Ross, Pete via phone (870) 425-6212.

Contact Information

Primary practice address
# 17 Medical Plaza Mountain Home AR 72653
Phone: (870) 425-6212
Fax: (870) 424-3774
Website:
Map and Directions
Authorized official contact:
Name: Ross, Pete
Phone: (870) 425-6212

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R2724 Arkansas

Profile Details

NPI number 1831203512
LBN Legal business name Stacey M Johnson Md Pa
DBA Doing business as Physicians Medical Center Of The Ozarks
Authorized official Ross, Pete
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated May 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831203512 NPPES
Arkansas MEDICAID 111814002
Arkansas Other 57598

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