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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2630641	OTHER	AL	NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134101009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OZARKS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	307 N KENTUCKY AVE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2074
Country	:	US
Telephone Number	:	417-256-7533
Fax Number	:	417-256-7825

Provider Business Practice Location Address
First Line	:	307 N KENTUCKY AVE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2074
Country	:	US
Telephone Number	:	417-256-7533
Fax Number	:	417-256-7825

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	TERENCE F FARRELL
Credential	:
Telephone Number	:	417-256-9611

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	11/14/2025

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

1366046716 — SCOTT MAHAN PHARM. D.
Practice Location Address:

307 N KENTUCKY AVE
WEST PLAINS, MO
65775-2074

Practice Phone: 417-256-7533
Practice Fax: 417-256-7825

1841151180 — AUGUST ELAINE GANNETT
Practice Location Address:

29174 NW KING ST
NORTH PLAINS, OR
97133-2074

Practice Phone: 503-844-1240
Practice Fax:

1831119692 — ANNIE MCBETH HOME HEALTH CARE LLC
Practice Location Address:

205 WELL SPRING DR
WEST COLUMBIA, SC
29172-2074

Practice Phone: 678-565-3587
Practice Fax: 678-565-3587

1104333434 — SHANNON KIESS M.ED., BCBA
Practice Location Address:

2074 SE DOVERBROOK ST
ST LUCIE WEST, FL
34983-4698

Practice Phone: 772-530-0575
Practice Fax:

1144845108 — HUONG T PHAM
Practice Location Address:

3336 S PIONEER PKWY STE 302
WEST VALLEY CITY, UT
84120-2074

Practice Phone: 801-964-8726
Practice Fax: 801-968-9836

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.