Provider Demographics
NPI:1447731401
Name:PM OPS, INC.
Entity type:Organization
Organization Name:PM OPS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-932-0050
Mailing Address - Street 1:402 S ARKANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:DIERKS
Mailing Address - State:AR
Mailing Address - Zip Code:71833-9001
Mailing Address - Country:US
Mailing Address - Phone:870-286-3100
Mailing Address - Fax:870-286-3030
Practice Address - Street 1:402 S ARKANSAS AVE
Practice Address - Street 2:
Practice Address - City:DIERKS
Practice Address - State:AR
Practice Address - Zip Code:71833-9001
Practice Address - Country:US
Practice Address - Phone:870-286-3100
Practice Address - Fax:870-286-3030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OVATION HEALTH SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-27
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR228976311Medicaid