| Ozarks Healthcare Gainesville | |
|
37 Medical Drive Gainesville MO 65655 | |
| (417) 679-4613 | |
| (417) 679-2211 |
| Full Name | Ozarks Healthcare Gainesville |
|---|---|
| Speciality | Clinic/Center |
| Location | 37 Medical Drive, Gainesville, Missouri |
| Authorized Official Name and Position | Thomas Keller (PRESIDENT AND CEO) |
| Authorized Official Contact | 4172576700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare Gainesville 1100 N Kentucky Ave Po Box 1100 West Plains MO 65775-2029 Ph: (417) 256-9111 | Ozarks Healthcare Gainesville 37 Medical Drive Gainesville MO 65655 Ph: (417) 679-4613 |
| NPI Number | 1760519029 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 3870491863 |
|---|---|
| Medicare Enrollment ID | O20080129000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760519029 | NPI | - | NPPES |
| 591203005 | Medicaid | MO | |
| 120405729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary |
Missouri Ozarks Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Elm St, Gainesville, MO 65655 Phone: 417-679-2775 Fax: 417-679-2633 | |
Missouri Ozarks Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S. Elm Street, Gainesville, MO 65655 Phone: 417-679-2775 Fax: 417-679-2633 | |
Firstcall Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98 1st St, Gainesville, MO 65655 Phone: 870-710-0927 |