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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