Ozarks Healthcare Mountain Grove

LBN: Ozarks Medical Center
Ozarks Healthcare Mountain Grove is an health care organization with primary practice located at 500 East 19Th Street Suite A, Mountain Grove MO 65711. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Ozarks Medical Center can be contacted via phone (417) 926-6563, or through Keller, Thomas W. via phone (417) 256-9111.

Contact Information

Primary practice address
500 East 19Th Street Suite A Mountain Grove MO 65711
Phone: (417) 926-6563
Fax: (417) 926-5820
Website:
Map and Directions
Authorized official contact:
Name: Keller, Thomas W.
Phone: (417) 256-9111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 17447 Missouri

Profile Details

NPI number 1376679423
LBN Legal business name Ozarks Medical Center
DBA Doing business as Ozarks Healthcare Mountain Grove
Authorized official Keller, Thomas W.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 25th, 2007
Last updated Nov 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376679423 NPPES
Missouri MEDICAID 599301009

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