Omc Adult Cprc

LBN: Ozarks Medical Center
Omc Adult Cprc is an health care organization with primary practice located at 1211 Porter Wagoner Blvd # 23 , West Plains MO 65775-1826. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Ozarks Medical Center can be contacted via phone (417) 257-6762, or through Keller, Thomas via phone (417) 257-9111.

Contact Information

Primary practice address
1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826
Phone: (417) 257-6762
Fax: (417) 257-5875
Website:
Map and Directions
Authorized official contact:
Name: Keller, Thomas
Phone: (417) 257-9111

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 147-48 Missouri

Profile Details

NPI number 1689880973
LBN Legal business name Ozarks Medical Center
DBA Doing business as Omc Adult Cprc
Authorized official Keller, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jul 17th, 2024 - about 2 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 1689880973 NPPES
Missouri MEDICAID 87175605

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