RICHLAND MEDICAL CENTER, INC. (NPI# 1164921474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164921474 |
| Entity Type | Organization |
| Organization Name | RICHLAND MEDICAL CENTER, INC. |
| Other Organization Name | CENTRAL OZARKS MEDICAL CENTER |
| Practice Address |
200 Fleetwood Dr Waynesville MO 65583-2266 |
| Mailing Address |
Po Box 777 Richland MO 65556-0777 |
| Practice Telephone | 5737655131 |
| Practice Fax Number | 5737653122 |
| Mailing Telephone | 5737655131 |
| Mailing Fax Number | 5737653122 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Authorized Official Name | HEATHER ANN ROGERS (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Telephone | 5737655131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Ozarks Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985695 | Richland Medical Center, Inc. | Clinic/Center | 1652 N Business Route 5, Camdenton, MO 65020-6872 | 2019-01-07 |
| 1710485024 | Richland Medical Center, Inc. | Clinic/Center | 1501 School Rd, Lake Ozark, MO 65049-9761 | 2018-02-01 |
| 1679995492 | Richland Medical Center, Inc. | Clinic/Center | 948 East Highway 54, Camdenton, MO 65020-0948 | 2014-01-14 |
| 1588163323 | Richland Medical Center, Inc. | Clinic/Center | 172 Dare Blvd., Camdenton, MO 65020-1409 | 2018-02-07 |
| 1215436522 | Richland Medical Center, Inc. | Clinic/Center | 112 S Pine St, Eldon, MO 65026-1581 | 2018-02-02 |
| 1942750690 | Richland Medical Center, Inc. | Clinic/Center | 404 W Us Highway 54, Camdenton, MO 65020-6943 | 2016-10-06 |
| 1659795102 | Richland Medical Center, Inc. | Clinic/Center | 948 E Us Highway 54, Camdenton, MO 65020-6834 | 2014-02-04 |
| 1891931978 | Richland Medical Center, Inc. | Clinic/Center | 3870 Columbia Ave, Osage Beach, MO 65065-8689 | 2008-12-19 |
| 1598968489 | Richland Medical Center, Inc. | Clinic/Center | 304 W Washington Ave, Richland, MO 65556-7101 | 2007-06-07 |
| 1245361344 | Richland Medical Center, Inc. | Clinic/Center | 304 W Washington Ave, Richland, MO 65556-7101 | 2007-03-08 |
| Street Address |
200 FLEETWOOD DR |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629523667 | Kelsey Dethrow | Speech-Language Pathologist | 200 Fleetwood Dr, Waynesville, MO 65583-2266 | 2016-08-19 |
| 1114374758 | Annalise Snyder | Speech-Language Pathologist | 200 Fleetwood Dr, Waynesville, MO 65583-2266 | 2016-05-23 |
| 1669829305 | Ashley Rapier | Speech-Language Pathologist | 200 Fleetwood Dr, Waynesville, MO 65583-2266 | 2016-05-23 |
| 1336594613 | Waynesville R-vi School District | Local Education Agency (LEA) | 200 Fleetwood Dr, Waynesville, MO 65583-2266 | 2016-04-25 |
| 1528497583 | Lauren Casanta | Speech-Language Pathologist | 200 Fleetwood Dr, Waynesville, MO 65583-2266 | 2013-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1407200264 | Blue Ridge Community Health Services, Inc | Clinic/Center | 34 Sims Cir, Waynesville, NC 28786-3056 | 2016-04-19 |
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| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.