| Ozarks Healthcare West Plains | |
|
181 N Kentucky Ave Suite 100 West Plains MO 65775-2089 | |
| (417) 257-5972 | |
| (417) 257-5974 |
| Full Name | Ozarks Healthcare West Plains |
|---|---|
| Speciality | Clinic/Center |
| Location | 181 N Kentucky Ave, West Plains, Missouri |
| Authorized Official Name and Position | Thomas Keller (PRESIDENT & CEO) |
| Authorized Official Contact | 4172569111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare West Plains 181 N Kentucky Ave Ste 100 West Plains MO 65775-2092 Ph: (417) 257-5911 | Ozarks Healthcare West Plains 181 N Kentucky Ave Suite 100 West Plains MO 65775-2089 Ph: (417) 257-5972 |
| NPI Number | 1649306119 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 3870491863 |
|---|---|
| Medicare Enrollment ID | O20080129000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649306119 | NPI | - | NPPES |
| 129830729 | Medicaid | AK | |
| 598302008 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17448 (Missouri) | Primary |
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