| Central Ozarks Medical Center | |
|
1501 School Rd Lake Ozark MO 65049-9761 | |
| (573) 765-5131 | |
| (573) 765-3122 |
| Full Name | Central Ozarks Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 School Rd, Lake Ozark, Missouri |
| Authorized Official Name and Position | Kelly Miller (CEO) |
| Authorized Official Contact | 5738367071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ozarks Medical Center Po Box 777 Richland MO 65556-0777 Ph: (573) 765-5131 | Central Ozarks Medical Center 1501 School Rd Lake Ozark MO 65049-9761 Ph: (573) 765-5131 |
| NPI Number | 1710485024 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 2062554025 |
|---|---|
| Medicare Enrollment ID | O20220209000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710485024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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