Organization
OZARKS MEDICAL CENTER
Active
Organization
OZARKS MEDICAL CENTER
Active
Other names
OMC BHC MH Crisis Prevention Project
Organization subpart
No
Provider details
NPI number
Authorized official
BARRYLYN SOUNDARARAJAN (PROVIDER ENROLLMENT COORDINATOR)
(417) 257-8752
Entity
Organization
Contact information
Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
174-57
MO
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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