Ozark Tri-County Healthcare Consortium
Organization Active NPI Federally Qualified Health Center (FQHC) · Goodman, MO
NPI 1558712422 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1558712422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- OZARK TRI-COUNTY HEALTHCARE CONSORTIUM
- Practice address
- 117 N School St
Goodman, MO 64843-9723 - Phone
- (417) 782-6200
- Fax
- (417) 782-6210
- NPI assigned
- Jun 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Don M McBride
- Title
- Ceo
- Phone
- (417) 451-9450
Owners & managing parties with NPI records 3
Corporate family (same tax ID) 46
Practitioners 1
-
Christine Rene Whitehead, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Federally qualified health center certification: CCN 261947
- Legal name
- OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
- Doing business as
- ACCESS FAMILY CARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 29, 2023
- Last certification
- Sep 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 19, 1996 in MO
- Enrollment address
- 117 N School St
Goodman, MO 64843-9723
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Julia M Leibbrand |
W-2 Managing Employee | Aug 26, 2013 | |
| Robin a Chapman |
Corporate Director |
Feb 23, 2023 | |
| Sheila R Long |
Corporate Officer |
May 14, 2007 | |
| W-2 Managing Employee | May 14, 2007 | ||
| Keenan T Cortez |
Corporate Director |
Aug 26, 2021 | |
| Jerrie Wise |
Corporate Director |
Jun 15, 1996 | |
| Kala M Smith |
Corporate Officer |
Jul 18, 2011 | |
| W-2 Managing Employee |
Jul 18, 2011 | ||
| Joshua J Shackles |
Corporate Director |
Aug 26, 2021 | |
| Elizabeth Persons |
Corporate Director |
Nov 19, 2009 | |
| Charles H Bentlage |
Corporate Director |
Jan 28, 2021 | |
| Tracy a Godfrey |
Corporate Officer |
Nov 1, 2021 | |
| W-2 Managing Employee |
Nov 1, 2021 | ||
| Jessica G Cullers |
Corporate Director |
Dec 16, 2021 | |
| Jeffrey Elmore |
Corporate Officer |
May 30, 2017 | |
| W-2 Managing Employee |
May 30, 2017 | ||
| Hillary Shadwick |
Corporate Officer |
Sep 24, 2018 | |
| W-2 Managing Employee |
Sep 24, 2018 | ||
| Joseph Zuzul |
Corporate Director |
Jul 25, 2019 | |
| Christian Demasi |
Corporate Director | Jul 25, 2014 | |
| Donald McBride |
Corporate Officer |
Feb 27, 2006 | |
| W-2 Managing Employee | Feb 27, 2006 | ||
| Carmen K Brown |
Corporate Director |
Mar 25, 2011 | |
| Cynthia McCoy |
Corporate Director |
Jan 25, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161103001643 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 8123918257 | Practice locations: Goodman, MO |
National Provider Directory
- Tax ID family
- Ozark Tri-County Consortium
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
117 N School St
Goodman, MO 64843-9723
Mailing address
PO Box 758
Neosho, MO 64850-0758
Phone (417) 451-9450
Other names
- Access Family Care
Other providers in Goodman, MO
- Elk River Health Services, Inc.
- Tessa Mirann Gingerich
- Virginia Hayes
- Scott Leo Kwapiszeski
- Ozark Sunrise Mental Wellness
- Scott Chiropractic Clinic PC
- Sgoh Acquisition, Inc.
All providers in Goodman, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.