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OZARKS MEDICAL CENTER NPI 1649712712


NPI Information

NPI: 1649712712
Provider Name: OZARKS MEDICAL CENTER

Other Name: OMC CERTIFIED COMMUNITY BHC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1211 PORTER WAGONER BLVD
#23 PARKWAY
WEST PLAINS, MO
ZIP 65775
Phone: (417) 257-6762
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OZARKS MEDICAL CENTER is an adult mental health clinic center in West Plains, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. OZARKS MEDICAL CENTER NPI is 1649712712. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Omc Certified Community Bhc.

The provider's business location address is:

1211 PORTER WAGONER BLVD
#23 PARKWAY
WEST PLAINS, MO
ZIP 65775-826
Phone: (417) 257-6762
Fax: (417) 257-5875

The provider's authorized official is Thomas Keller .
The authorized official title is Chief Executive Officer and has the following contact phone number (417) 256-9111.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 11/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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