Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Healthcare Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
BARRYLYN ULMANIS (PROVIDER ENROLLMENT COORDINATOR)
(417) 257-6792
Entity
Organization
Contact information
Practice address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 257-7076
(417) 257-1417
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-7076
(417) 257-1417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
174-59
MO
Other
Enumeration date
01/10/2018
Last updated
11/12/2020
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