Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KELLER (PRESIDENT AND CEO)
(417) 257-6700
Entity
Organization
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
174-47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010492106
—
MO
01
—
CQ4070
MEDICARE RAILROAD CARRIER
—
01
—
CR0599
MEDICARE RAILROAD CARRIER
—
Enumeration date
07/14/2006
Last updated
11/08/2023
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