| Ozarks Healthcare Family Care | |
|
1307 Porter Wagoner Blvd West Plains MO 65775-1828 | |
| (417) 255-8645 | |
| (417) 255-8649 |
| Full Name | Ozarks Healthcare Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1307 Porter Wagoner Blvd, West Plains, Missouri |
| Authorized Official Name and Position | Tyler Thompson (MANAGER OF MANAGED CARE) |
| Authorized Official Contact | 4172576734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare Family Care 1307 Porter Wagoner Blvd West Plains MO 65775-1828 Ph: (417) 255-8645 | Ozarks Healthcare Family Care 1307 Porter Wagoner Blvd West Plains MO 65775-1828 Ph: (417) 255-8645 |
| NPI Number | 1285801696 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 0648236398 |
|---|---|
| Medicare Enrollment ID | O20081015000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285801696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason K Spurling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770661704 PECOS PAC ID: 6204892953 Enrollment ID: I20041206000155 |
| Provider Name | Scott F Roush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750469706 PECOS PAC ID: 1355307000 Enrollment ID: I20041206000194 |
| Provider Name | Lisa Marie Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710379201 PECOS PAC ID: 2769700137 Enrollment ID: I20150415000450 |
| Provider Name | Jamie L Parrott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164979605 PECOS PAC ID: 3274811831 Enrollment ID: I20190815001819 |
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