MEDICARE: OZARKS MEDICAL CENTER

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	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063493237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OZARKS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	812 N KENTUCKY AVE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2023
Country	:	US
Telephone Number	:	417-256-3133
Fax Number	:	417-256-5961

Provider Business Practice Location Address
First Line	:	812 N KENTUCKY AVE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2023
Country	:	US
Telephone Number	:	417-256-0191
Fax Number	:	417-256-5961

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT SPECIALIST
Name	:	ANTHONY LEON PINCKNEY
Credential	:
Telephone Number	:	904-302-3989

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	07/23/2021

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1487658340 — OZARKS MEDICAL CENTER
Practice Location Address:

812 N KENTUCKY AVE
WEST PLAINS, MO
65775-2023

Practice Phone: 417-256-3133
Practice Fax: 417-256-5961

1740286004 — OZARKS MEDICAL CENTER
Practice Location Address:

812 N KENTUCKY AVE
WEST PLAINS, MO
65775-2023

Practice Phone: 417-256-3133
Practice Fax: 417-256-5961

1861546269 — DR. LONNIE RAY VETTER D.D.S.
Practice Location Address:

820 N KENTUCKY ST
WEST PLAINS, MO
65775-2023

Practice Phone: 417-256-5223
Practice Fax: 417-256-8717

1801940382 — DR. DAVID LEE COCHRAN DDS
Practice Location Address:

818 N KENTUCKY ST
WEST PLAINS, MO
65775-2023

Practice Phone: 417-257-1200
Practice Fax:

1932328994 — DR. JULIE A HART O.D.
Practice Location Address:

808 N KENTUCKY AVE
WEST PLAINS, MO
65775-2023

Practice Phone: 417-255-2010
Practice Fax: 417-255-2027

Directions to “OZARKS MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.