Healthcare Provider Details

I. General information

NPI: 1154838209
Provider Name (Legal Business Name): OZARKS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 N KENTUCKY AVE
WEST PLAINS MO
65775
US

IV. Provider business mailing address

PO BOX 1100
WEST PLAINS MO
65775-1100
US

V. Phone/Fax

Practice location:
  • Phone: 417-257-7076
  • Fax: 417-257-1417
Mailing address:
  • Phone: 417-257-7076
  • Fax: 417-257-1417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number174-59
License Number StateMO

VIII. Authorized Official

Name: TERENCE F FARRELL
Title or Position: PRESIDENT & CEO
Credential: MHA, FACHE
Phone: 417-256-9111