Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Healthcare at Home (Hospice)
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KELLER (PRESIDENT/CEO)
(417) 257-6700
Entity
Organization
Contact information
Practice address
812 N KENTUCKY AVE, WEST PLAINS, MO 65775-2023
(417) 256-3133
(417) 256-5961
Mailing address
812 N KENTUCKY AVE, WEST PLAINS, MO 65775-2023
(417) 256-3133
(417) 256-5961
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
00010413
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820492106
—
MO
01
—
IA000703
CAHABA SUBMITTER ID
MO
Enumeration date
06/09/2005
Last updated
02/22/2021
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