OZARKS MEDICAL CENTER (NPI# 1649306002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649306002 |
| Entity Type | Organization |
| Organization Name | OZARKS MEDICAL CENTER |
| Other Organization Name | OZARKS MEDICAL CENTER MAMMOTH SPRING |
| Practice Address |
260 S Main Street Mammoth Spring AR 72554-7466 |
| Mailing Address |
Po Box 250 Mammoth Spring AR 72554-0250 |
| Practice Telephone | 8706253228 |
| Practice Fax Number | 8706253227 |
| Mailing Telephone | 8706253228 |
| Mailing Fax Number | 8706253227 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | THOMAS KELLER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4172569111 |
| Is Organization Subpart | Y |
| Parent Organization Name | OZARKS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
17447 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 118737729 | 05 | |
| MO | 592966105 | 05 |
| Other Name | Type Code |
|---|---|
| Mammoth Springs Medical Clinic | Doing Business As Name - Organization |
| Ozarks Medical Center Mammoth Spring | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| 1750680146 | Ozarks Medical Center | Internal Medicine | 1115 Alaska St Ste 215, West Plains, MO 65775-2014 | 2011-03-24 |
| 1326213406 | Ozarks Medical Center | Ambulance | Hc 1 Box 31, Gainesville, MO 65655-9601 | 2008-04-29 |
| 1871768952 | Ozarks Medical Center | Ambulance | 203 Front St, Thayer, MO 65791-1220 | 2008-04-29 |
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1730215195 | Ozarks Medical Center | Clinic/Center | 1375 Nettleton Avenue, Thayer, MO 65791 | 2007-02-27 |
| 1558497917 | Ozarks Medical Center | Clinic/Center | 9104 State Highway 19, Winona, MO 65588-8389 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OZARKS MEDICAL CENTER | 1100 Kentucky Ave, West Plains, MO 65775-2029 |
| Street Address |
260 S MAIN STREET |
| City | MAMMOTH SPRING |
| State | AR |
| Zip Code | 72554-7466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255764312 | Hazel Wilcox | Social Worker | 325 South 12th Street, Mammoth Spring, AR 72554 | 2013-08-13 |
| 1912193467 | Mammoth Spring School District | Local Education Agency (LEA) | 410 Goldsmith Ave., Mammoth Spring, AR 72554 | 2007-09-19 |
| 1689749426 | Ronald Myers | Pharmacist | 226 Main, Mammoth Spring, AR 72554 | 2006-11-21 |
| 1942319769 | Michael Dean Kersey | Dentist | 180 Main Street, Mammoth Spring, AR 72554 | 2006-08-29 |
| 1770507642 | Alan W Winberry | Dentist | 730 Hwy 62 W, Salem, AR 72554 | 2006-07-26 |
| 1023053907 | Linda Prebble | Nurse Practitioner | 260 South Main Street, Mammoth Spring, AR 72554 | 2006-06-17 |
| 1356329650 | V & K Prn, Inc | Pharmacy | 270 Main Street, Mammoth Spring, AR 72554 | 2006-01-06 |
| 1619516200 | Baxter Regional Health System | Family Medicine | 277 Main Street, Mammoth Spring, AR 72554 | 2019-12-30 |
| 1477079325 | Transforming Lives Counseling LLC | Clinic/Center | 325 South 12th Street, Mammoth Spring, AR 72554 | 2017-08-22 |
| 1023349651 | Mammoth Spring Dental Clinic, LLC | Dentist | 180 Main Street, Mammoth Spring, AR 72554 | 2010-01-21 |
| Find all providers in zip 72554 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | MAMMOTH SPRING |
| Zip Code | 72554 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.