# OZARKS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ozarks Medical Center Willow Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124514476
- **Authorized official:** BARRYLYN ULMANIS (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (417) 257-6782

## Contact information

- **Practice address:** 201 WEST HIGH STREET, SUITE 2, WILLOW SPRINGS, MO 65793
- **Practice address phone:** (417) 252-6994
- **Practice address fax:** (417) 469-0651
- **Mailing address:** 201 WEST HIGH STREET, SUITE 2, WILLOW SPRINGS, MO 65793
- **Mailing address phone:** (417) 252-6994
- **Mailing address fax:** (417) 469-0651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 11/19/2018