NPIMap

Organization Active NPI

Richland Medical Center, Inc.

Doing business as Central Ozarks Medical Center

  • Federally Qualified Health Center (FQHC)
  • Camdenton, MO
National Provider Identifier
1942750690
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RICHLAND MEDICAL CENTER, INC.
Doing business as
Central Ozarks Medical Center
Practice address
404 W US Highway 54
Camdenton, MO 65020-6943
Phone
(573) 765-5131
Fax
(573) 765-3122
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Mr. Robert Stiles
Title
Ceo
Phone
(573) 765-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

404 W US Highway 54
Camdenton, MO 65020-6943

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (573) 765-5131

Other names 1

  • Central Ozarks Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000793 MO Part B Supplier - Clinic/Group Practice 2062554025 Receives reassigned benefits from 79 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eldon, MO; Waynesville, MO; Richland, MO; Osage Beach, MO; Lake Ozark, MO; Gravois Mills, MO; Crocker, MO; Camdenton, MO

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1942750690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-765-5131",
            "fax_number": "573-765-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206943",
            "telephone_number": "573-765-5131",
            "fax_number": "573-765-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-765-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Ozarks Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camdenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.