Healthcare Provider Details
I. General information
NPI: 1619385234
Provider Name (Legal Business Name): THE ARC OF THE OZARKS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2014
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1721 W ELFINDALE ST
SPRINGFIELD MO
65807-1295
US
IV. Provider business mailing address
1501 E PYTHIAN ST
SPRINGFIELD MO
65802-2139
US
V. Phone/Fax
- Phone: 417-771-3700
- Fax: 417-771-3722
- Phone: 417-864-7887
- Fax: 417-864-4307
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
H
POWERS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 417-864-7887