Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Medical Center, OMC Adult TCM
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KELLER (PRESIDENT/ CEO)
(417) 257-6700
Entity
Organization
Contact information
Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6782
(417) 257-5875
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
174-48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158895201
—
MO
Enumeration date
06/04/2007
Last updated
09/16/2019
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