NPIMap

Organization Active NPI

Richland Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Crocker, MO
National Provider Identifier
1568321107
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RICHLAND MEDICAL CENTER, INC
Practice address
101 12TH St
Crocker, MO 65452-9203
Phone
(877) 406-2662
Fax
(573) 765-3122
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Monica Shawnette Stogsdill
Title
Cfo
Phone
(573) 836-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

101 12TH St
Crocker, MO 65452-9203

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (877) 406-2662

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100525000793 MO Part B Supplier - Clinic/Group Practice 2062554025 Receives reassigned benefits from 79 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eldon, MO; Waynesville, MO; Richland, MO; Osage Beach, MO; Lake Ozark, MO; Gravois Mills, MO; Crocker, MO; Camdenton, MO
O20260430000922 MO Part A Provider - Federally Qualified Health Center (FQHC) 2062554025 Practice locations: Crocker, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568321107. Details of each certification follow.

Federally qualified health center certification: CCN 791936

Legal name
RICHLAND MEDICAL CENTER, INC.
Doing business as
CENTRAL OZARKS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 30, 2026
Last certification
Mar 30, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
101 12TH St
Crocker, MO 65452-9203

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
Richland Medical Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

200 Fleetwood Dr
Waynesville, MO 65583
Phone (573) 765-5131

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Brandon Witt Individual Corporate OfficerBoard Member Jul 1, 2018
Bob Boatwright Individual Corporate OfficerBoard Member Feb 1, 2018
Dawnelyn Schneider Individual Corporate OfficerCeo May 1, 2026
Corporate DirectorCeo May 1, 2026
W-2 Managing EmployeeCeo May 1, 2026
David L Miller Individual Corporate OfficerBoard Member Jun 1, 2013
Robin Hobbs Individual Corporate OfficerBoard Member Jan 2, 2016
Sherry Struckhoff Individual Corporate OfficerBoard Member Apr 1, 2015
Monica S Stogsdill Individual Corporate OfficerCfo Oct 21, 2019
Corporate DirectorCfo Oct 21, 2019
W-2 Managing EmployeeCfo Oct 21, 2019
Teresa Kisling Individual Corporate OfficerBoard Member Sep 1, 2021
Tom Reagan Individual Corporate OfficerBoard Member Nov 1, 2015
Michael Carter Individual Corporate OfficerBoard Member Nov 1, 2024
Diangela Duncan Individual Corporate OfficerBoard Member Feb 1, 2025
Beth Wiles Individual Corporate OfficerBoard Member Jun 1, 2018

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Central Ozarks Medical CenterCamdenton, MO, CCN 261179 Federally qualified health center Other (100%) Jan 1, 2019
Central Ozarks Medical CenterRichland, MO, CCN 791140 Federally qualified health center Operational/Managerial Control Oct 1, 2019
Central Ozarks Medical CenterRichland, MO, CCN 261986 Federally qualified health center Operational/Managerial Control Dec 1, 2019

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1568321107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "877-406-2662",
            "fax_number": "573-765-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 12TH ST",
            "city": "CROCKER",
            "state": "MO",
            "postal_code": "654529203",
            "telephone_number": "877-406-2662",
            "fax_number": "573-765-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "STOGSDILL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "SHAWNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-836-7101"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crocker, MO

Sources for this page

Verify at the official NPI Registry.