NPIMap

Organization Active NPI

Ozarks Medical Center

Doing business as Ozarks Healthcare Wound Care Mountain Grove

  • Clinic/Center
  • Mountain Grove, MO
National Provider Identifier
1891478301
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OZARKS MEDICAL CENTER
Doing business as
Ozarks Healthcare Wound Care Mountain Grove
Practice address
500 E 19TH St Ste C
Mountain Grove, MO 65711-1115
Phone
(417) 926-6563
Fax
(417) 926-0911
NPI assigned
Aug 10, 2023
Last updated
Jul 16, 2026By the provider in NPPES
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
President & Ceo
Phone
(417) 256-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

500 E 19TH St Ste C
Mountain Grove, MO 65711-1115

Mailing address

PO Box 1100
West Plains, MO 65775-1100
Phone (417) 256-9111

Other names 1

  • Ozarks Healthcare Wound Care Mountain Grove 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 MO

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 28

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

View all 28

National Provider Directory

National Provider Directory
Tax ID family
Highland Medical Clinic46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1891478301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751100",
            "telephone_number": "417-256-9111",
            "fax_number": "417-257-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST STE C",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111115",
            "telephone_number": "417-926-6563",
            "fax_number": "417-926-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "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": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "417-256-9111",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "500 E 19th St Ste C",
            "city": "Mountain Grove",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657111115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ozarks Healthcare Wound Care Mountain Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.