# OZARK FAMILY MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ozark Family Medical Clinic, Van Buren
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700661188
- **Authorized official:** AUSTIN TINSLEY (OWNER)
- **Authorized official phone:** (573) 686-5510

## Contact information

- **Practice address:** 103 DOLLIE LN STE 1, VAN BUREN, MO 63965-7266
- **Practice address phone:** (573) 850-4110
- **Mailing address:** 2725 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2346
- **Mailing address phone:** (573) 686-5510

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 10/20/2023