NPIMap

Organization Active NPI

Ozarks Medical Center

  • Community/Retail Pharmacy
  • West Plains, MO
National Provider Identifier
1780959684
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2004036325 Issued in MO
Legal business name
OZARKS MEDICAL CENTER
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(417) 256-1793
Fax
(417) 256-1784
NPI assigned
Mar 12, 2012
Organization subpart
No

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
Ceo/President
Phone
(417) 256-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2004036325 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-1793

Other identifiers 2

IdentifierTypeStateIssuer
1780959684MedicaidMO
2134012OtherPK

Other names 1

  • Ozarks Healthcare Pharmacy 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 MO2 enrollments

Enrollment records 2

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
O20210604001810 MO Part B Supplier - Pharmacy 3870491863 4 other NPIs on this enrollment
Practice locations: Gainesville, MO; West Plains, MO; Thayer, MO; Mountain Grove, MO

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ozarks HealthcareWest Plains, MO, CCN 260078 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Ozarks Healthcare at HomeWest Plains, MO, CCN 267186 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Ozarks Healthcare Mountain GroveMountain Grove, MO, CCN 268579 Rural health clinic Operational/Managerial Control Nov 1, 1997
Ozarks Healthcare Mountain ViewMountain View, MO, CCN 268616 Rural health clinic Operational/Managerial Control Jan 12, 2007
Ozarks Healthcare ThayerThayer, MO, CCN 263438 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Ozarks Healthcare WinonaWinona, MO, CCN 263979 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 16, 1990
Jul 16, 1990
Ozarks Healthcare GainesvilleGainesville, MO, CCN 263981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1990
Jan 1, 1990
Ozarks Healthcare West PlainsWest Plains, MO, CCN 263484 Rural health clinic Operational/Managerial Control Apr 1, 1996
Ozarks Healthcare AltonAlton, MO, CCN 268523 Rural health clinic Operational/Managerial Control Jun 22, 1998
Ozarks Healthcare PediatricsWest Plains, MO, CCN 268761 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Ozarks Healthcare Zizzer ClinicWest Plains, MO, CCN 268784 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1990
Jul 27, 2020
Ozarks Healthcare Willow SpringsWillow Springs, MO, CCN 268814 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2025
Dec 1, 2025

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1780959684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-1793",
            "fax_number": "417-256-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-1793",
            "fax_number": "417-256-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "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": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "417-256-9111",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2004036325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780959684",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134012",
            "state": null
        }
    ],
    "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": "1100 N Kentucky Ave",
            "city": "West Plains",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657752029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ozarks Healthcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.