| Organization Name: | AMERIS OF OSCEOLA LLC |
| NPI Number: | 1225025646 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID LYNN (CFO) |
| Mailing Address: | 611 W Lee Ave Osceola |
| State: | AR US |
| Postal Code: | 723703001 |
| Phone Number: | 8705637000 |
| Fax Number: | 8708387100 |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | AR4260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |