OZARKS MEDICAL CENTER (NPI# 1376679423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376679423 |
| Entity Type | Organization |
| Organization Name | OZARKS MEDICAL CENTER |
| Other Organization Name | MOUNTAIN GROVE MEDICAL COMPLEX |
| Practice Address |
500 East 19th Street Suite A Mountain Grove MO 65711 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4179266563 |
| Practice Fax Number | 4179265820 |
| Mailing Telephone | 4172569111 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | MR. THOMAS W. KELLER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4172569111 |
| Is Organization Subpart | Y |
| Parent Organization Name | OZARKS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
17447 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 599301009 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain Grove Medical Complex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| 1750680146 | Ozarks Medical Center | Internal Medicine | 1115 Alaska St Ste 215, West Plains, MO 65775-2014 | 2011-03-24 |
| 1326213406 | Ozarks Medical Center | Ambulance | Hc 1 Box 31, Gainesville, MO 65655-9601 | 2008-04-29 |
| 1871768952 | Ozarks Medical Center | Ambulance | 203 Front St, Thayer, MO 65791-1220 | 2008-04-29 |
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1649306002 | Ozarks Medical Center | Clinic/Center | 260 S Main Street, Mammoth Spring, AR 72554-7466 | 2007-02-27 |
| 1730215195 | Ozarks Medical Center | Clinic/Center | 1375 Nettleton Avenue, Thayer, MO 65791 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OZARKS MEDICAL CENTER | 1100 Kentucky Ave, West Plains, MO 65775-2029 |
| Street Address |
500 EAST 19TH STREET SUITE A |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| 1922634732 | Kalynn Woods | Physician Assistant | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2020-03-13 |
| Find all providers in zip 65711 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1083705529 | Family Walk In Clinic of Mountain Grove Inc | Clinic/Center | 205 W 3rd St Ste 3, Mountain Grove, MO 65711-1600 | 2006-09-28 |
| 1639517832 | Mercy St Francis Hospital | Clinic/Center | 120 W 16th St, Mountain Grove, MO 65711-1039 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
Please comment or provide details below to improve the information on OZARKS MEDICAL CENTER.
| 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.