Ozarks Medical Center
Organization Active NPI Clinic/Center · Willow Springs, MO
NPI 1124514476 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1124514476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- OZARKS MEDICAL CENTER
- Practice address
- 201 West High Street
Suite 2
Willow Springs, MO 65793 - Phone
- (417) 252-6994
- Fax
- (417) 469-0651
- NPI assigned
- Jul 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Barrylyn Ulmanis
- Title
- Provider Enrollment Coordinator
- Phone
- (417) 257-6782
Other NPIs on the same Medicare enrollment 28
Member of 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209001035 | MO | Part B Supplier - Clinic/Group Practice | 3870491863 |
Receives reassigned benefits from 353 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Plains, MO; Winona, MO; Willow Springs, MO; Gainesville, MO; Houston, MO; Mountain Grove, MO; Mountain View, MO; Thayer, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
201 West High Street
Suite 2
Willow Springs, MO 65793
Mailing address
201 West High Street, Suite 2
Willow Springs, MO 65793
Phone (417) 252-6994
Other names
- Ozarks Medical Center Willow Springs
Other providers in Willow Springs, MO
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- April Moore
- Mothers Against Methamphetamine-Opening Doors to Recovery
- Allie Newman
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- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Dawn Marie Paterson
- Lori Pendergrass
All providers in Willow Springs, MO · Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.