Organization
OZARKS MEDICAL CENTER
Active
Parent organization
OZARKS MEDICAL CENTER
Other names
Ozarks Healthcare Winona
Organization subpart
Yes
Provider details
NPI number
Legal business name
OZARKS MEDICAL CENTER
Authorized official
BARRYLYN ULMANIS (PROVIDER ENROLLMENT COORDINATOR)
(417) 257-6792
Entity
Organization
Contact information
Practice address
9104 STATE HIGHWAY 19, WINONA, MO 65588-8389
(573) 325-4237
(573) 325-4996
Mailing address
PO BOX 28, WEST PLAINS, MO 65775-0028
(573) 325-4237
(573) 325-4996
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
17447
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590492104
—
MO
Enumeration date
02/27/2007
Last updated
11/13/2020
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