Ozarks Medical Center
Organization Active NPI Nephrology Physician · West Plains, MO
NPI 1649569740 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1649569740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- OZARKS MEDICAL CENTER
- Practice address
- 3000 Independence SQ
West Plains, MO 65775-4239 - Phone
- (417) 256-1731
- Fax
- (417) 256-1733
- NPI assigned
- Mar 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Thomas W Keller
- Title
- President and Ceo
- Phone
- (417) 256-9111
Other NPIs on the same Medicare enrollment 28
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
3000 Independence SQ
West Plains, MO 65775-4239
Mailing address
PO Box 1100
West Plains, MO 65775-1100
Other names
- Ozarks Medical Center Nephrology Clinic
Other providers in West Plains, MO
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
All providers in West Plains, MO · Nephrology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. 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.