OZARKS MEDICAL CENTER NPI 1588791842

NPI Information

NPI: 1588791842
Provider Name: OZARKS MEDICAL CENTER

Doing Business As: OZARKS HEALTHCARE ALTON

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

Specialization: Rural Health

Address:
100 MEDICAL DRIVE
ALTON, MO
ZIP 65606
Phone: (417) 778-7227
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OZARKS MEDICAL CENTER is a rural health clinic center in Alton, MO. OZARKS MEDICAL CENTER NPI is 1588791842. The provider is registered as an organization entity type.
The provider Is Doing Business As Ozarks Healthcare Alton.

The provider's business location address is:

100 MEDICAL DRIVE
ALTON, MO
ZIP 65606
Phone: (417) 778-7227
Fax: (417) 778-7225

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

The CLIA number assigned to this NPI record is 26D0447076 - rural health clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/27/2007 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	17447	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	593965304	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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