Ozarks Medical Center
Organization Active NPI Rural Health Clinic/Center · Mammoth Spring, AR
NPI 1649306002 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1649306002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 17447 (MO)
- Legal business name
- OZARKS MEDICAL CENTER
- Practice address
- 260 S Main Street
Mammoth Spring, AR 72554-7466 - Phone
- (870) 625-3228
- Fax
- (870) 625-3227
- NPI assigned
- Feb 27, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- OZARKS MEDICAL CENTER
Authorized official
- Name
- Thomas Keller
- Title
- President and Ceo
- Phone
- (417) 256-9111
Practitioners 1
-
Linda Prebble, RN, FNP
National Provider Directory
- Part of
- Omc Breast Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 17447 | MO | Yes |
Addresses
Primary practice location
260 S Main Street
Mammoth Spring, AR 72554-7466
Mailing address
PO Box 250
Mammoth Spring, AR 72554-0250
Phone (870) 625-3228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118737729 | Medicaid | AR | |
| 592966105 | Medicaid | MO |
Other names
- Ozarks Healthcare Mammoth Spring
Other providers in Mammoth Spring, AR
- Mammoth Spring School District
- Mammoth Spring School District
- Mental Health and Wellness on Main
- Justin Wade Montgomery
- Rosemary Catherine Murdie
- Teresa A Powers
- Linda Prebble
- Elizabeth Puerta
- Candis Ring
- Ronald Myers
All providers in Mammoth Spring, AR · Rural Health Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.