Organization
OZARKS MEDICAL CENTER
Active
Other names
OMC Certified Community BHC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KELLER (CHIEF EXECUTIVE OFFICER)
(417) 256-9111
Entity
Organization
Contact information
Practice address
1211 PORTER WAGONER BLVD, #23 PARKWAY, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
(417) 257-5947
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/12/2020
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