Organization
OMC YOUTH TCM
Active
Organization
OMC YOUTH TCM
Active
Other names
Ozarks Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL BAGBY (PRESIDENT AND CEO)
(417) 256-9111
Entity
Organization
Contact information
Practice address
909 N KENTUCKY AVE, WEST PLAINS, MO 65775-2024
(417) 257-6762
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
Enumeration date
06/04/2007
Last updated
08/22/2020
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