Organization Active NPI

Ozark Family Health Care Inc

  • Family Medicine Physician
  • Mountain Grove, MO
National Provider Identifier
1639344237
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6B35 Issued in MO
Legal business name
OZARK FAMILY HEALTH CARE INC
Practice address
405 N Main St
Mountain Grove, MO 65711-1656
Phone
(417) 926-3979
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Michael David Ball, D.O.
Title
Physician/Owner
Phone
(417) 926-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R6B35 MO Primary

Addresses

Primary practice location

405 N Main St
Mountain Grove, MO 65711-1656

Mailing address

405 N Main St
Mountain Grove, MO 65711-1656
Phone (417) 926-3979

Other identifiers 1

IdentifierTypeStateIssuer
241513407MedicaidMO

National Provider Directory

National Provider Directory

Locations

405 N Main St
Mountain Grv, MO 65711
Phone (417) 926-3443

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1639344237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111656",
            "telephone_number": "417-926-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111656",
            "telephone_number": "417-926-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK FAMILY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "417-926-3979",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6B35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241513407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.