OZARKS MEDICAL CENTER NPI 1619321643

NPI Information

  • NPI: 1619321643
  • Provider Name: OZARKS MEDICAL CENTER
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Other Name: OMC BHC MH CRISIS PREVENTION PROJECT
  • Address: 1211 PORTER WAGONER BLVD # 23
    WEST PLAINS, MO
    ZIP 65775
  • Phone: (417) 257-6762

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NPI Details

OZARKS MEDICAL CENTER is an adult mental health clinic center in West Plains, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. OZARKS MEDICAL CENTER NPI is 1619321643. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Omc Bhc Mh Crisis Prevention Project.

The provider's business location address is:

1211 PORTER WAGONER BLVD # 23
WEST PLAINS, MO
ZIP 65775-826
Phone: (417) 257-6762
Fax: (417) 257-5875

The provider's authorized official is Barrylyn Soundararajan .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (417) 257-8752.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 4/15/2016.

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
12084N0400XPsychiatry & NeurologyNeurology174-57MISSOURINo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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