| Ozark Family Medical Clinic, Llc | |
|
2725 N Westwood Blvd Ste 17 Poplar Bluff MO 63901-2367 | |
| (573) 686-5510 | |
| Not Available |
| Full Name | Ozark Family Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2725 N Westwood Blvd Ste 17, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Ashley Tinsley (OWNER) |
| Authorized Official Contact | 5736865510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Family Medical Clinic, Llc 2725 N Westwood Blvd Poplar Bluff MO 63901-2346 Ph: () - | Ozark Family Medical Clinic, Llc 2725 N Westwood Blvd Ste 17 Poplar Bluff MO 63901-2367 Ph: (573) 686-5510 |
| NPI Number | 1225810179 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 6002263449 |
|---|---|
| Medicare Enrollment ID | O20231130002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225810179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tammy R Kaempfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194707240 PECOS PAC ID: 3678558376 Enrollment ID: I20040618000413 |
| Provider Name | Tammy J Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942286125 PECOS PAC ID: 7517965965 Enrollment ID: I20150624001215 |
| Provider Name | Linda Kay Blasingame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790233187 PECOS PAC ID: 4082989397 Enrollment ID: I20211230000065 |
| Provider Name | Kimberly E Slayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619444627 PECOS PAC ID: 0840623930 Enrollment ID: I20220628001620 |
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