Ozarks Medical Center
Organization Active NPI Family Medicine Physician · West Plains, MO
NPI 1285801696 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1285801696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- OZARKS MEDICAL CENTER
- Practice address
- 1307 Porter Wagoner Blvd
West Plains, MO 65775-1828 - Phone
- (417) 255-8645
- Fax
- (417) 255-8649
- NPI assigned
- May 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Terence Farrell, MHA, FACHE
- Title
- President & Ceo
- Phone
- (417) 256-9111
Other NPIs on the same Medicare enrollment 28
Corporate family (same tax ID) 44
Practitioners 64
-
Oluwafunmilola Alabi, MD, MPH
-
Jacob Lee Baalman, M.D.
-
James R Belk, MD
-
Kathryn L Egly, MD
-
Brian W Grantham, M.D.
-
Billy Holt, DO
-
Lori G Macpherson, M.D.
-
Craig Randall, D.O.
-
George D Runyon, DO
-
Trevor Lynn Bond, D.O.
-
Charles Scott Rasmussen, D.O.
-
Anees F Afroze, M.D
-
Mary Brasier, WHNP-BC
-
Carla Clinton, FNP-C
-
Beverly J. Denton, FNP-C
-
Druery J Dixon, M.D.
-
Carolyn Ann Ellsworth, M.D.
-
Samuel Charles Evans, M.D.
-
Brooke L. Fair, FNP
-
Vanessa Gail Fowler, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1032027 | Ozarks Healthcare - Family Care | Certificate of waiver | Oct 14, 2026 |
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
- Tax ID family
- Omc Breast Care
Locations
1210 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-1745
1115 Alaska St
Ste 115
West Plains, MO 65775
1405 Doctors Dr
West Plains, MO 65775
Phone (417) 256-4111
1115 Alaska St
Ste 215
West Plains, MO 65775
Phone (417) 257-5989
1013 N College St
West Plains, MO 65775
Phone (417) 505-7123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1307 Porter Wagoner Blvd
West Plains, MO 65775-1828
Mailing address
1307 Porter Wagoner Blvd
West Plains, MO 65775-1828
Phone (417) 255-8645
Other names
- Ozarks Healthcare Family Care
Other providers in West Plains, MO
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
All providers in West Plains, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.