OZARKS MEDICAL CENTER (NPI# 1730215195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730215195 |
| Entity Type | Organization |
| Organization Name | OZARKS MEDICAL CENTER |
| Other Organization Name | OZARKS MEDICAL CENTER THAYER/MAMMOTH SPRING |
| Practice Address |
1375 Nettleton Avenue Thayer MO 65791 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172647136 |
| Practice Fax Number | 4172647122 |
| Mailing Telephone | 4172569111 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | THOMAS KELLER (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 | 597843309 | 05 | |
| AR | 126733729 | 05 |
| Other Name | Type Code |
|---|---|
| Ozarks Medical Center Thayer/Mammoth Spring | 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 |
| 1558497917 | Ozarks Medical Center | Clinic/Center | 9104 State Highway 19, Winona, MO 65588-8389 | 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 |
1375 NETTLETON AVENUE |
| City | THAYER |
| State | MO |
| Zip Code | 65791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888451 | Holly Davis Baker | Occupational Therapy Assistant | 709 Hwy 19, Thayer, MO 65791 | 2018-01-03 |
| 1235646936 | Tyler Davis | Occupational Therapy Assistant | 709 Highway 19, Thayer, MO 65791 | 2018-01-03 |
| 1407229941 | Active Chiropractic & Acupuncture, LLC | Chiropractor | 4 Cemetery Lane, Thayer, MO 65791 | 2015-11-05 |
| 1144598574 | Health Facilities Rehab Services Inc | Clinic/Center | 323 Business Route 63, Thayer, MO 65791 | 2011-12-13 |
| 1437369832 | Allen Supported Living | Day Training, Developmentally Disabled Services | Rt 3 3268a, Thayer, MO 65791 | 2007-05-23 |
| 1336364918 | Kathryn D Cooper | Pharmacist | North Highway 63 #43, Thayer, MO 65791 | 2007-04-17 |
| 1144354325 | Newton's Group Home of Thayer, Inc. | Community/Behavioral Health | Rt #3 Box 153, Thayer, MO 65791 | 2007-03-16 |
| 1457482788 | Davidson Drug LLC | Pharmacy | 200 Warmfork Road, Thayer, MO 65791 | 2007-03-08 |
| 1407910318 | Donna J Gowin | Psychiatry & Neurology | 202 Risner Ave., Thayer, MO 65791 | 2006-12-22 |
| 1972535920 | Thayer No 1 Inc | Skilled Nursing Facility | 335 Business Route 63, Thayer, MO 65791 | 2006-07-07 |
| Find all providers in zip 65791 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 | ||||
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.