# OZARKS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ozarks Healthcare Ear, Nose and Throat
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841800216
- **Authorized official:** BARRYLYN ULMANIS (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (417) 257-6792

## Contact information

- **Practice address:** 2600 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4233
- **Practice address phone:** (417) 256-1774
- **Practice address fax:** (417) 256-1794
- **Mailing address:** PO BOX 1100, WEST PLAINS, MO 65775-1100
- **Mailing address phone:** (417) 256-9111
- **Mailing address fax:** (417) 256-5838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 11/13/2020
