Healthcare Provider Details

I. General information

NPI: 1518001296
Provider Name (Legal Business Name): OZARKS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 THIRD STREET
GAINESVILLE MO
65655-0414
US

IV. Provider business mailing address

PO BOX 414
GAINESVILLE MO
65655-0414
US

V. Phone/Fax

Practice location:
  • Phone: 417-679-2650
  • Fax: 417-679-2596
Mailing address:
  • Phone: 417-679-2650
  • Fax: 417-679-2596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2000152004
License Number StateMO

VIII. Authorized Official

Name: TERENCE F FARRELL
Title or Position: PRESIDENT/CEO
Credential:
Phone: 417-256-9111