NPIMap

Organization Active NPI

Richland Medical Center, Inc.

Doing business as Central Ozarks Medical Center

  • Dentist
  • Richland, MO
National Provider Identifier
1598968489
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RICHLAND MEDICAL CENTER, INC.
Doing business as
Central Ozarks Medical Center
Practice address
304 W Washington Ave
Richland, MO 65556-7101
Phone
(573) 765-5131
Fax
(573) 765-3122
NPI assigned
Jun 7, 2007
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Paul P Bocci
Title
Cfo
Phone
(314) 422-3617

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Dentist 122300000X MO Primary

Addresses

Primary practice location

304 W Washington Ave
Richland, MO 65556-7101

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (573) 765-5131

Other identifiers 1

IdentifierTypeStateIssuer
501616726MedicaidMO

Other names 1

  • Central Ozarks Medical Center Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1598968489",
    "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": "573-765-5131",
            "fax_number": "573-765-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WASHINGTON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567101",
            "telephone_number": "573-765-5131",
            "fax_number": "573-765-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "BOCCI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-422-3617"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501616726",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Ozarks Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.