Ozark Mountain Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OZARK MOUNTAIN MEDICAL LLC

Doing business as

Ozark Mountain Medical

Practice address

30688 County Road 80
Cross Timbers, MO 65634-8491

Phone

(816) 605-3816

Fax

(417) 351-4135

NPI assigned

Jul 7, 2016

Last updated

Nov 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia D Bennett

Title

Manager/Cfo

Phone

(417) 733-4769

Specialties & licenses 1

Addresses

Other names 1

• Ozark Mountain Medical Doing business as

Locations

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1407208903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30688 COUNTY ROAD 80",
            "city": "CROSS TIMBERS",
            "state": "MO",
            "postal_code": "656348491",
            "telephone_number": "816-605-3816",
            "fax_number": "417-351-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30688 COUNTY ROAD 80",
            "city": "CROSS TIMBERS",
            "state": "MO",
            "postal_code": "656348491",
            "telephone_number": "816-605-3816",
            "fax_number": "417-351-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK MOUNTAIN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/CFO",
        "authorized_official_telephone_number": "417-733-4769",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Mountain Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozark Mountain Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Cross Timbers, MO
• Providers in Cross Timbers, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.