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NPI Code Detail

MEDICARE: OZARKS MEDICAL CENTER

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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1942196027
Entity Type Code : Organization
Provider Name (Legal Business Name) : OZARKS MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 1100
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-1100
Country : US
Telephone Number : 417-256-9111
Fax Number :
Provider Business Practice Location Address
First Line : 816 E MAIN ST
Second Line :
City : WILLOW SPRINGS
State : MO
Zip : 65793-1518
Country : US
Telephone Number : 417-256-9111
Fax Number :
Authorized Official
Title or Position : COO
Name : LACEY CARTER
Credential :
Telephone Number : 417-256-9111
Provider Enumeration Date : 06/16/2025
Last Update Date : 06/16/2025

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Directions to “OZARKS MEDICAL CENTER ” Practice Location

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