| 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 | Clinic/Center |
| Location | 304 W Washington Ave, Richland, 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 304 W Washington Ave Richland MO 65556-7101 Ph: (573) 765-5131 |
| NPI Number | 1245361344 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/11/2021 |
| Medicare PECOS PAC ID | 2062554025 |
|---|---|
| Medicare Enrollment ID | O20100914000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245361344 | NPI | - | NPPES |
| 501616718 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mercy Clinic Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 S Pine St, Richland, MO 65556 Phone: 573-765-2956 | |
Mercy Clinic Family Medicine-richland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 S Pine St, Richland, MO 65556 Phone: 573-765-2938 Fax: 573-765-2938 |