Ozarks Medical Center
Organization Active NPI Wound Care Registered Nurse · Gainesville, MO
NPI 1619620705 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1619620705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Wound Care Registered Nurse 163WW0000X
- Legal business name
- OZARKS MEDICAL CENTER
- Practice address
- 39 Medical Drive
Gainesville, MO 65655 - Phone
- (417) 679-4613
- NPI assigned
- Jan 31, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- OZARKS MEDICAL CENTER
Authorized official
- Name
- Terence F Farrell, MHA, FACHE
- Title
- President & Ceo
- Phone
- (417) 256-9111
Other NPIs on the same Medicare enrollment 28
Corporate family (same tax ID) 44
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Omc Breast Care
- Part of
- Omc Breast Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse |
163WW0000X | Yes |
Addresses
Primary practice location
39 Medical Drive
Gainesville, MO 65655
Mailing address
39 Medical Drive
Gainesville, MO 65655
Other names
- Ozarks Healthcare Wound Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | 2.16.840.1.113883.3.1476 | Health Information Exchange (HIE) | Ozarks Medical Center |
Other providers in Gainesville, MO
- Ozark County Ambulance District
- Ozark County Health Center
- Ozark County Health Department
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Lacy Shields
- Trisha Vigna
- Marti Lea Warden
- Amanda Williams
All providers in Gainesville, MO · Wound Care Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.