Organization
OZARKS MEDICAL CENTER
Active
Parent organization
OZARKS MEDICAL CENTER
Other names
Ozarks Healthcare Thayer
Organization subpart
Yes
Provider details
NPI number
Legal business name
OZARKS MEDICAL CENTER
Authorized official
THOMAS KELLER (CEO/PRESIDENT)
(417) 256-9111
Entity
Organization
Contact information
Practice address
1375 NETTLETON AVENUE, THAYER, MO 65791
(417) 264-7136
(417) 264-7122
Mailing address
1375 NETTLETON AVE, THAYER, MO 65791-8740
(417) 264-7136
(417) 264-7122
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
17447
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126733729
—
AR
05
—
597843309
—
MO
Enumeration date
02/27/2007
Last updated
11/13/2020
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