NPIMap

Organization Active NPI

Ozarks Medical Center

Doing business as Ozarks Healthcare Mountain Grove

  • Rural Health Clinic/Center
  • Mountain Grove, MO
National Provider Identifier
1376679423
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
17447 Issued in MO
Legal business name
OZARKS MEDICAL CENTER
Doing business as
Ozarks Healthcare Mountain Grove
Practice address
500 E 19TH St
Mountain Grove, MO 65711-1114
Phone
(417) 926-6563
Fax
(417) 926-5820
NPI assigned
Feb 25, 2007
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OZARKS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terence F Farrell, MHA, FACHE
Title
President & Ceo
Phone
(417) 256-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 17447 MO Primary

Addresses

Primary practice location

500 E 19TH St
Mountain Grove, MO 65711-1114

Mailing address

PO Box 1100
West Plains, MO 65775-1100
Phone (417) 256-9111

Other identifiers 1

IdentifierTypeStateIssuer
599301009MedicaidMO

Other names 1

  • Ozarks Healthcare Mountain Grove Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL 2.16.840.1.113883.3.1476 Health Information Exchange (HIE) Ozarks Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20040721000658 MO Part A Provider - Rural Health Clinic 3870491863 Practice locations: Mountain Grove, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376679423. Details of each certification follow.

Rural health clinic certification: CCN 268579

Legal name
OZARKS MEDICAL CENTER
Doing business as
OZARKS HEALTHCARE MOUNTAIN GROVE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 20, 2004
Last certification
Jul 27, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
500 E 19TH St
Ste a
Mountain Grove, MO 65711-1115
Related CCNs
260078

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

National Provider Directory

National Provider Directory
Tax ID family
Highland Medical Clinic46 organizations share this tax ID, including this one
Part of
Highland Medical Clinic

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

1211 Porter Wagoner Blvd
West Plains, MO 65775
Phone (417) 257-6762

1211 Porter Wagoner Blvd
Ste 2
West Plains, MO 65775

1627 Gibson Ave
West Plains, MO 65775
Phone (417) 256-1838

9104 State Highway 19
Winona, MO 65588
Phone (573) 325-4237

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Clara N Applegate Individual Corporate OfficerBoard Member Jan 1, 2026
Jackie Kimbrough Individual W-2 Managing EmployeeAd;Mso Manager Jan 1, 2024
Shawn Marhefka Individual Corporate DirectorBoard of Directors Treasurer Jan 1, 2019
Christen Weaver Individual Corporate OfficerCoo Jan 1, 2026
Corporate DirectorCoo Jan 1, 2026
W-2 Managing EmployeeCoo Jan 1, 2026
Reid Grigsby Individual Corporate OfficerVice Chair Apr 1, 2019
Brenda Smith Individual Corporate OfficerBoard Member Jan 1, 2026
Ozarks Medical Center Organization, West Plains, MO Non-profit Operational/Managerial Control Nov 1, 1997
Heather Foster Individual Corporate OfficerBoard Member Jan 1, 2026
William Wood Individual Corporate DirectorBoard of Director Jan 1, 2014
Troy H Caron Individual Corporate OfficerBoard Member Jan 1, 2026
Darwin Murray Individual Corporate OfficerBoard Member Jan 1, 2026
John a Washburn Individual Corporate OfficerBoard Member Jan 1, 2026
Roger Shaw Individual Corporate DirectorBoard of Director Jan 1, 2014
David Gohn Individual Corporate DirectorBoard of Director Jan 1, 2019
Norman Hollis Individual Corporate OfficerBoard Member Jan 1, 2026
Curtis L Horstman Individual Corporate OfficerBoard Member Jan 1, 2026
Terence Farrell Individual Corporate OfficerCeo Jan 1, 2024
Corporate DirectorCeo Jan 1, 2024
W-2 Managing EmployeeCeo Jan 1, 2024
Steve Vines Individual Corporate OfficerBoard Member Jan 1, 2026
Priscilla a Frase Individual Corporate OfficerBoard Member Jan 1, 2026

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ozarks HealthcareWest Plains, MO, CCN 260078 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Ozarks Healthcare at HomeWest Plains, MO, CCN 267186 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Ozarks Healthcare Mountain ViewMountain View, MO, CCN 268616 Rural health clinic Operational/Managerial Control Jan 12, 2007
Ozarks Healthcare ThayerThayer, MO, CCN 263438 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Ozarks Healthcare WinonaWinona, MO, CCN 263979 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 16, 1990
Jul 16, 1990
Ozarks Healthcare GainesvilleGainesville, MO, CCN 263981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1990
Jan 1, 1990
Ozarks Healthcare West PlainsWest Plains, MO, CCN 263484 Rural health clinic Operational/Managerial Control Apr 1, 1996
Ozarks Healthcare AltonAlton, MO, CCN 268523 Rural health clinic Operational/Managerial Control Jun 22, 1998
Ozarks Healthcare PediatricsWest Plains, MO, CCN 268761 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Ozarks Healthcare Zizzer ClinicWest Plains, MO, CCN 268784 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1990
Jul 27, 2020
Ozarks Healthcare Willow SpringsWillow Springs, MO, CCN 268814 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2025
Dec 1, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ozarks Medical Center

    dba Ozarks Healthcare Pediatrics

    • Rural Health Clinic/Center
    • West Plains, MO
    • NPI 1154838209

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare Mountain View

    • Rural Health Clinic/Center
    • Mt View, MO
    • NPI 1295815017

    Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare Winona

    • Rural Health Clinic/Center
    • Winona, MO
    • NPI 1558497917

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare Alton

    • Rural Health Clinic/Center
    • Alton, MO
    • NPI 1588791842

    Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba OMC/Zizzer Clinic

    • Rural Health Clinic/Center
    • West Plains, MO
    • NPI 1598373359

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare West Plains

    • Rural Health Clinic/Center
    • West Plains, MO
    • NPI 1649306119

    Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare Thayer

    • Rural Health Clinic/Center
    • Thayer, MO
    • NPI 1730215195

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare at Home (Home Health)

    • Home Health Agency
    • West Plains, MO
    • NPI 1740286004

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare Gainesville

    • Rural Health Clinic/Center
    • Gainesville, MO
    • NPI 1760519029

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare

    • General Acute Care Hospital
    • West Plains, MO
    • NPI 1831115641

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ozarks Medical Center

    dba Ozarks Healthcare

    • Rural Health Clinic/Center
    • Willow Springs, MO
    • NPI 1942196027

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1376679423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751100",
            "telephone_number": "417-256-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111114",
            "telephone_number": "417-926-6563",
            "fax_number": "417-926-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OZARKS MEDICAL CENTER",
        "enumeration_date": "2007-02-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "417-256-9111",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "17447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599301009",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "2.16.840.1.113883.3.1476",
            "affiliation": "Y",
            "endpointDescription": "TEFCA OID",
            "affiliationName": "Ozarks Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TEFCA Exchange",
            "address_1": "500 E 19th St",
            "city": "Mountain Grove",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657111114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ozarks Healthcare Mountain Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozarks Healthcare Mountain Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Grove, MO

Sources for this page

Verify at the official NPI Registry.