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Ozarks Medical Center

Organization Active NPI Community/Behavioral Health Agency · West Plains, MO

NPI 1861608150 · NPPES record last updated Jul 17, 2024

Key facts

NPI
1861608150
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
174-48 (MO)
Legal business name
OZARKS MEDICAL CENTER
Practice address
1211 Porter Wagoner Blvd # 23
West Plains, MO 65775-1826
Phone
(417) 257-6762
Fax
(417) 257-5875
NPI assigned
May 15, 2007
Organization subpart
No

Authorized official

Name
Thomas Keller
Title
President
Phone
(417) 257-9111

Corporate family (same tax ID) 44

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

View all 44

Practitioners 3

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

National Provider Directory

Tax ID family
Omc Breast Care (45 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 174-48 MO Yes

Addresses

Primary practice location

1211 Porter Wagoner Blvd # 23
West Plains, MO 65775-1826

Mailing address

PO Box 1100
West Plains, MO 65775-1100

Other identifiers

IdentifierTypeStateIssuer
876175613MedicaidMO

Other names

  • OMC YOUTH CPRC Doing business as
  • Ozarks Medical Center Doing business as

Other providers in West Plains, MO

All providers in West Plains, MO · Community/Behavioral Health Agency in Missouri

Sources for this page

Verify at the official NPI Registry.