# OZARKS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OZARKS MEDICAL CENTER
- **Other names:** Ozarks Healthcare Mammoth Spring
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649306002
- **Legal business name:** OZARKS MEDICAL CENTER
- **Authorized official:** THOMAS KELLER (PRESIDENT AND CEO)
- **Authorized official phone:** (417) 256-9111

## Contact information

- **Practice address:** 260 S MAIN STREET, MAMMOTH SPRING, AR 72554-7466
- **Practice address phone:** (870) 625-3228
- **Practice address fax:** (870) 625-3227
- **Mailing address:** PO BOX 250, MAMMOTH SPRING, AR 72554-0250
- **Mailing address phone:** (870) 625-3228
- **Mailing address fax:** (870) 625-3227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 17447 | MO | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 11/12/2020