OZARKS MEDICAL CENTER NPI 1649306119

NPI Information

NPI: 1649306119
Provider Name: OZARKS MEDICAL CENTER

Doing Business As: OZARKS HEALTHCARE WEST PLAINS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
181 N KENTUCKY AVE
SUITE 100
WEST PLAINS, MO
ZIP 65775
Phone: (417) 257-5972
Get Directions

OZARKS MEDICAL CENTER is a rural health clinic center in West Plains, MO. OZARKS MEDICAL CENTER NPI is 1649306119. The provider is registered as an organization entity type.
The provider Is Doing Business As Ozarks Healthcare West Plains.

The provider's business location address is:

181 N KENTUCKY AVE
SUITE 100
WEST PLAINS, MO
ZIP 65775-089
Phone: (417) 257-5972
Fax: (417) 257-5974

The provider's authorized official is Thomas Keller .
The authorized official title is President & Ceo and has the following contact phone number (417) 256-9111.

The CLIA number assigned to this NPI record is 26D0917611 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	17448	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	129830729	MEDICAID	ALASKA
2	598302008	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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