NPIMap

Organization Active NPI

Ozarks Medical Center

Doing business as Ozarks Healthcare Wound Care

  • Wound Care Registered Nurse
  • Gainesville, MO
National Provider Identifier
1619620705
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
OZARKS MEDICAL CENTER
Doing business as
Ozarks Healthcare Wound Care
Practice address
39 Medical Drive
Gainesville, MO 65655
Phone
(417) 679-4613
NPI assigned
Jan 31, 2022
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
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

39 Medical Drive
Gainesville, MO 65655

Mailing address

39 Medical Drive
Gainesville, MO 65655

Other names 1

  • Ozarks Healthcare Wound Care 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 MO

Enrollment records 1

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

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
Ozarks Medical Group46 organizations share this tax ID, including this one
Part of
Ozarks Medical Group

Other organizations with this tax ID 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 1

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1619620705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MEDICAL DRIVE",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "65655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MEDICAL DRIVE",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "65655",
            "telephone_number": "417-679-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OZARKS MEDICAL CENTER",
        "enumeration_date": "2022-01-31",
        "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": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "39 Medical Drive",
            "city": "Gainesville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ozarks Healthcare Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.