NPIMap

Organization Active NPI

Ozark Tri-County Health Care Consortium

  • Federally Qualified Health Center (FQHC)
  • Carthage, MO
National Provider Identifier
1992995120
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Practice address
1335 E Fairview Ave
Carthage, MO 64836-3125
Phone
(174) 310-9190
Fax
(174) 310-9191
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Don M McBride
Title
Ceo
Phone
(417) 451-9450

Specialties & licenses 1

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

Addresses

Primary practice location

1335 E Fairview Ave
Carthage, MO 64836-3125

Mailing address

PO Box 758
Neosho, MO 64850-0758
Phone (417) 451-9450

Other identifiers 1

IdentifierTypeStateIssuer
1992995120MedicaidMO

Other names 1

  • Access Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330001501 MO Part B Supplier - Clinic/Group Practice 8123918257 Receives reassigned benefits from 66 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Joplin, MO; Neosho, MO; Monett, MO; Lamar, MO; Cassville, MO; Aurora, MO; Anderson, MO
O20071025000153 MO Part A Provider - Federally Qualified Health Center (FQHC) 8123918257 Practice locations: Carthage, MO

Federally qualified health center certification: CCN 261024

Legal name
OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Doing business as
ACCESS FAMILY CARE JOPLIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 29, 2008
Last certification
May 29, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1996 in MO
Enrollment address
1335 E Fairview Ave
Carthage, MO 64836-3125

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
Ozark Tri-County Consortium47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

1809 S Connor Ave
Joplin, MO 64804
Phone (417) 782-1772

4301 Doniphan Dr
Neosho, MO 64850

353 Falls Dr NW
Abingdon, VA 24210
Phone (276) 258-5921

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julia M Leibbrand Individual W-2 Managing EmployeeProvider Enrollment Aug 13, 2014
Robin a Chapman Individual Corporate DirectorBoard Member Feb 23, 2023
Sheila R Long Individual Corporate OfficerChief Financial Officer May 14, 2007
W-2 Managing EmployeeChief Financial Officer May 14, 2007
Keenan T Cortez Individual Corporate DirectorBoard Member Aug 26, 2021
Jerrie Wise Individual Corporate DirectorBoard Member Jun 15, 1996
Kala M Smith Individual Corporate OfficerChief Dental Officer Jul 18, 2011
W-2 Managing EmployeeChief Dental Officer Jul 18, 2011
Joshua J Shackles Individual Corporate DirectorBoard Member Aug 26, 2021
Elizabeth Persons Individual Corporate DirectorBoard Member Nov 19, 2009
Charles H Bentlage Individual Corporate DirectorBoard Member Jan 28, 2021
Tracy a Godfrey Individual Corporate OfficerChief Medical Officer Nov 1, 2021
Jessica G Cullers Individual Corporate DirectorBoard Treasurer Dec 16, 2021
Jeffrey Elmore Individual Corporate OfficerChief Information Officer May 30, 2017
W-2 Managing EmployeeChief Information Officer May 30, 2017
Hillary Shadwick Individual Corporate OfficerChief Human Resource Officer Sep 24, 2018
W-2 Managing EmployeeChief Human Resource Officer Sep 24, 2018
Joseph Zuzul Individual Corporate DirectorBoard Member Jul 25, 2019
Christian Demasi Individual Corporate DirectorBoard Member Jul 25, 2014
Carrie E Foote Individual Corporate OfficerRisk Compliance and Quality Dir. Oct 3, 2021
Donald McBride Individual Corporate OfficerChief Executive Officer Feb 27, 2006
W-2 Managing EmployeeChief Executive Officer Feb 27, 2006
Carmen K Brown Individual Corporate DirectorBoard Member Mar 25, 2011
Cynthia McCoy Individual Corporate DirectorBoard Member Jan 25, 2018

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1992995120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648500758",
            "telephone_number": "417-451-9450",
            "fax_number": "417-451-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E FAIRVIEW AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363125",
            "telephone_number": "174-310-9190",
            "fax_number": "174-310-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK TRI-COUNTY HEALTH CARE CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-451-9450"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992995120",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.