NPIMap

Organization Active NPI

Ozark Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Joplin, MO
National Provider Identifier
1790796878
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3070-8702 Issued in MO
Legal business name
OZARK CENTER
Practice address
1105 E 32ND St
Joplin, MO 64804-2879
Phone
(417) 347-7600
Fax
(417) 347-7608
NPI assigned
Aug 11, 2006
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Mary B. Parrigon
Title
Chief Financial Officer
Phone
(417) 347-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3070-8702 MO Primary

Addresses

Primary practice location

1105 E 32ND St
Joplin, MO 64804-2879

Mailing address

1105 E 32ND St
Joplin, MO 64804-2879
Phone (417) 347-7600

Other identifiers 1

IdentifierTypeStateIssuer
567890900MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000110 MO Part B Supplier - Clinic/Group Practice 4789588088 Receives reassigned benefits from 74 practitioners
1 other NPI on this enrollment
Practice locations: Joplin, MO; Lamar, MO; Neosho, MO; Pineville, MO; Carl Junction, MO; Carthage, MO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Mason W Dikeman PHD20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1105 E 32nd St
Joplin, MO 64804

305 S Virginia Ave
Joplin, MO 64801
Phone (417) 347-7660

3220 Wisconsin Ave
Joplin, MO 64804
Phone (417) 347-7630

3230 Wisconsin Ave
Ste Ad
Joplin, MO 64804

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

204 N Lincoln St
Neosho, MO 64850
Phone (417) 347-7835

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1790796878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042879",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042879",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "PARRIGON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "417-347-7600"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "3070-8702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567890900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.