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OZARKS MEDICAL CENTER NPI 1487658340


NPI Information

NPI: 1487658340
Provider Name: OZARKS MEDICAL CENTER

Doing Business As: OZARKS HEALTHCARE AT HOME (HOSPICE)

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
812 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-3133
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OZARKS MEDICAL CENTER is a hospice care community based in West Plains, MO. OZARKS MEDICAL CENTER NPI is 1487658340. The provider is registered as an organization entity type.
The provider Is Doing Business As Ozarks Healthcare At Home (hospice).

The provider's business location address is:

812 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775-023
Phone: (417) 256-3133
Fax: (417) 256-5961

The provider's authorized official is Thomas Keller .
The authorized official title is President/ceo and has the following contact phone number (417) 257-6700.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 2/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based00010413MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IA000703OTHERMISSOURICAHABA SUBMITTER ID
2820492106MEDICAIDMISSOURI

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: 4/28/2024

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