Healthcare Provider Details
I. General information
NPI: 1659289353
Provider Name (Legal Business Name): OZARKS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1115 ALASKA ST
WEST PLAINS MO
65775-2061
US
IV. Provider business mailing address
PO BOX 1100
WEST PLAINS MO
65775-1100
US
V. Phone/Fax
- Phone: 417-256-1838
- Fax:
- Phone: 417-256-9111
- Fax: 417-257-5947
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TERENCE
F
FARRELL
Title or Position: CEO
Credential:
Phone: 417-257-6700