MEDICARE: MSNRC OPS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	044662	OTHER	MO	FACILITY LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306394077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MSNRC OPS, INC.

Provider Business Mailing Address
First Line	:	1502 W EDGEWOOD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-3567
Country	:	US
Telephone Number	:	417-877-7545
Fax Number	:	417-877-7551

Provider Business Practice Location Address
First Line	:	1502 W EDGEWOOD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-3567
Country	:	US
Telephone Number	:	417-877-7545
Fax Number	:	417-877-7551

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON ADAMS
Credential	:
Telephone Number	:	501-932-0050

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	08/14/2025

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