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Contact Information

ADVANCED MEDICINE OF THE OZARKS, LTD
104 DYER ST
MOUNTAIN HOME, AR72653-3514
 Phone: 870-232-0397
 Fax: 870-232-0399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED MEDICINE OF THE OZARKS, LTD

NPI # 1225786916
LBN Legal business name ADVANCED MEDICINE OF THE OZARKS, LTD
Authorized official TRACIE GILLILAND - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2022
Last updated 03/12/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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