Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI # | 1184165490 |
| LBN Legal business name | OZARKS NEW HOPE |
| Authorized official | STEVE BEARDEN - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/20/2017 |
| Last updated | 05/04/2017 - About 9 years ago |
| Identifiers | n/a |
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