Ozark Center
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Joplin, MO
NPI 1790796878 · NPPES record last updated Aug 29, 2011
Key facts
- NPI
- 1790796878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 3070-8702 (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
- Organization subpart
- No
Authorized official
- Name
- Mary B. Parrigon
- Title
- Chief Financial Officer
- Phone
- (417) 347-7600
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 19
Member of 1
Practitioners 113
-
Nauman Ashraf, M.D.
-
Amy Elizabeth Chapman, PMHNP-BC
-
Lakshminarayana Chekuri, M.D.
-
Eric Allen Copeland, PSY.D.
-
Zachary Edward Dampier, MSN, APRN, PMHNP-BC
-
Ayesha Fatima, MD
-
Marsha Hazel, PMHNP
-
Janeice Hukill, PMHNP
-
John Stewart Kelley, LPC
-
Brian Lee King, PMHNP-BC
-
Tami King, PMHNP-BC
-
Brett Christopher Miller, PSY.D.
-
Melissa L Moore, LMSW
-
Cassandra Elizabeth Morgan, PMHNP
-
Tamon Berber Paige, M.D.
-
Kara Mekel Reed, M.D.
-
Allison Smith, D.O.
-
Karl R. Stammer, FPMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Charles Patterson MD
Locations
1632 Missouri Ave
Carthage, MO 64836
Phone (417) 358-1500
3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567
3230 Wisconsin Ave
Ste Ad
Joplin, MO 64804
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 3070-8702 | MO | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567890900 | Medicaid | MO |
Other providers in Joplin, MO
- Ozark Center
- Ozark Center
- Ozark Center
- Ozark Center
- Ozark Center
- Ozark Center
- Ozark Center
- Ozark Center
- Ozark Center - DD Outpatient
- Ozark Compounding Pharmacy
All providers in Joplin, MO · Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2011. 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.