Organization
OZARKS MEDICAL CENTER DBA RIVERWAYS SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE LYN WOMACK (CLINIC COORDINATOR)
(417) 256-0191
Entity
Organization
Contact information
Practice address
114 E MAIN ST, WEST PLAINS, MO 65775-3556
(417) 256-0191
(417) 256-5961
Mailing address
114 E MAIN ST, WEST PLAINS, MO 65775
(417) 256-0191
(417) 256-5961
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
940563208
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063493237
—
MO
05
—
1639338759
—
MO
05
—
1710146832
—
MO
05
—
M280563206
—
MO
Enumeration date
07/18/2012
Last updated
07/18/2012
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