| Central Ozarks Medical Center | |
|
304 W Washington Ave Richland MO 65556-7101 | |
| (573) 765-5131 | |
| (573) 765-3122 |
| Full Name | Central Ozarks Medical Center |
|---|---|
| Speciality | Dentist |
| Location | 304 W Washington Ave, Richland, Missouri |
| Authorized Official Name and Position | Paul P Bocci (CFO) |
| Authorized Official Contact | 3144223617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ozarks Medical Center Po Box 777 Richland MO 65556-0777 Ph: (573) 765-5131 | Central Ozarks Medical Center 304 W Washington Ave Richland MO 65556-7101 Ph: (573) 765-5131 |
| NPI Number | 1598968489 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598968489 | NPI | - | NPPES |
| 501616726 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Missouri) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |