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	261QR1300X	Rural Health Clinic/Center		MO

General Provider Information

NPI Number	:	1295815017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OZARKS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 32
Second Line	:
City	:	MOUNTAIN VIEW
State	:	MO
Zip	:	65548-0032
Country	:	US
Telephone Number	:	417-934-2273
Fax Number	:	417-934-2332

Provider Business Practice Location Address
First Line	:	220 N ELM STREET
Second Line	:
City	:	MT. VIEW
State	:	MO
Zip	:	65548-7109
Country	:	US
Telephone Number	:	417-296-6563
Fax Number	:	417-926-5820

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. THOMAS W. KELLER
Credential	:
Telephone Number	:	417-256-9111

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	11/12/2020

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Directions to “OZARKS MEDICAL CENTER ” Practice Location

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