| Ozark Tri-county Health Care Consortium | |
|
927 N 71 Business Hwy Anderson MO 64831-9753 | |
| (417) 845-8300 | |
| (417) 845-8314 |
| Full Name | Ozark Tri-county Health Care Consortium |
|---|---|
| Speciality | Clinic/Center |
| Location | 927 N 71 Business Hwy, Anderson, Missouri |
| Authorized Official Name and Position | Don M Mcbride (CEO) |
| Authorized Official Contact | 4178459450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Tri-county Health Care Consortium Po Box 758 475 Nelson Avenue Neosho MO 64850-0758 Ph: (417) 451-9450 | Ozark Tri-county Health Care Consortium 927 N 71 Business Hwy Anderson MO 64831-9753 Ph: (417) 845-8300 |
| NPI Number | 1265428791 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 01/19/2023 |
| Medicare PECOS PAC ID | 8123918257 |
|---|---|
| Medicare Enrollment ID | O20040330001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265428791 | NPI | - | NPPES |
| 504955600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
| Provider Name | Tracy A Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104828714 PECOS PAC ID: 3375438823 Enrollment ID: I20040216000467 |
| Provider Name | Richard A Metsker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356386361 PECOS PAC ID: 6204812365 Enrollment ID: I20040629000002 |
| Provider Name | Julie A Stapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992784086 PECOS PAC ID: 3173584398 Enrollment ID: I20041021000408 |
| Provider Name | Tina R Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306877808 PECOS PAC ID: 4082679337 Enrollment ID: I20041129000200 |
| Provider Name | William P Triplett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730196080 PECOS PAC ID: 8224056247 Enrollment ID: I20051108001108 |
| Provider Name | Jeffrey Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053348045 PECOS PAC ID: 2466540208 Enrollment ID: I20071113000293 |
| Provider Name | Melinda L Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457439309 PECOS PAC ID: 6507756541 Enrollment ID: I20071127000493 |
| Provider Name | Susan Pumphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134243819 PECOS PAC ID: 0042397093 Enrollment ID: I20080401000898 |
| Provider Name | John D Paulson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801077797 PECOS PAC ID: 7416014568 Enrollment ID: I20090317000620 |
| Provider Name | Amanda Renee Landt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245470624 PECOS PAC ID: 3173670155 Enrollment ID: I20090408000361 |
| Provider Name | Beverly Dawn Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295896405 PECOS PAC ID: 2062540503 Enrollment ID: I20100504000824 |
| Provider Name | Gerald W Englund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003878141 PECOS PAC ID: 1759413370 Enrollment ID: I20100717000253 |
| Provider Name | Charles L Graves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144306440 PECOS PAC ID: 2769489533 Enrollment ID: I20100916000946 |
| Provider Name | Brian E Basham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376617274 PECOS PAC ID: 7719167543 Enrollment ID: I20110210000423 |
| Provider Name | Amanda Swink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477862050 PECOS PAC ID: 2961684667 Enrollment ID: I20110316000343 |
| Provider Name | Scott Allen Andelin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013245000 PECOS PAC ID: 1456547348 Enrollment ID: I20120914000102 |
| Provider Name | Joseph E Lutes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346512696 PECOS PAC ID: 2062663065 Enrollment ID: I20121126000344 |
| Provider Name | Jamie A Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114214962 PECOS PAC ID: 9638394661 Enrollment ID: I20141211001210 |
| Provider Name | Christy Marie Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184014003 PECOS PAC ID: 3678899234 Enrollment ID: I20150226001251 |
| Provider Name | Amy Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437540846 PECOS PAC ID: 2062738545 Enrollment ID: I20150226002305 |
| Provider Name | Seth N Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699703579 PECOS PAC ID: 9537469622 Enrollment ID: I20151120001874 |
| Provider Name | Wendy M Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639523095 PECOS PAC ID: 2860781622 Enrollment ID: I20160517002739 |
| Provider Name | Jared W Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982018727 PECOS PAC ID: 4587954409 Enrollment ID: I20160606002094 |
| Provider Name | Karla R Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104281922 PECOS PAC ID: 6800177080 Enrollment ID: I20161230000082 |
| Provider Name | Kimberly Lucille Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255878989 PECOS PAC ID: 4880978907 Enrollment ID: I20170308001746 |
| Provider Name | Amanda Copley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639679970 PECOS PAC ID: 9537420666 Enrollment ID: I20180306000053 |
| Provider Name | Mariam Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780024596 PECOS PAC ID: 2365685013 Enrollment ID: I20190109003219 |
| Provider Name | Jessica Windschitl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427440619 PECOS PAC ID: 0941537617 Enrollment ID: I20190805001060 |
| Provider Name | Vickie Lynn Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174184568 PECOS PAC ID: 7911234992 Enrollment ID: I20190814000897 |
| Provider Name | William R Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942436209 PECOS PAC ID: 6204974330 Enrollment ID: I20191030003132 |
| Provider Name | Sabrina R Barratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396388443 PECOS PAC ID: 0941532337 Enrollment ID: I20191105000904 |
| Provider Name | Matthew J Dzak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841544681 PECOS PAC ID: 5991010563 Enrollment ID: I20200601000889 |
| Provider Name | Karlin A Silvers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356957682 PECOS PAC ID: 4486064573 Enrollment ID: I20201030001166 |
| Provider Name | Angela D Parrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770186785 PECOS PAC ID: 4688086820 Enrollment ID: I20201214000285 |
| Provider Name | Christy A Gilreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366921504 PECOS PAC ID: 3577815984 Enrollment ID: I20210105000261 |
| Provider Name | Kevin D Copley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720542145 PECOS PAC ID: 4880933787 Enrollment ID: I20210526002087 |
| Provider Name | Alisa Jean Barroeta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033886585 PECOS PAC ID: 7618373754 Enrollment ID: I20210915000557 |
| Provider Name | Jacqueline Renee Henbest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609459932 PECOS PAC ID: 9537552708 Enrollment ID: I20220210001985 |
| Provider Name | Shane Allan Philliber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891455507 PECOS PAC ID: 6002200623 Enrollment ID: I20220224002702 |
| Provider Name | Virginia Rose Hentschel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700546165 PECOS PAC ID: 4587058078 Enrollment ID: I20220226000346 |
| Provider Name | Jill N Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821464199 PECOS PAC ID: 6103213368 Enrollment ID: I20220419000525 |
| Provider Name | Daniel J Bingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891140810 PECOS PAC ID: 4183000953 Enrollment ID: I20220930002123 |
| Provider Name | Joshua Allison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821211517 PECOS PAC ID: 1759750698 Enrollment ID: I20221215000757 |
| Provider Name | Sharon Suellen Link |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720319361 PECOS PAC ID: 4981732864 Enrollment ID: I20221227000770 |
| Provider Name | Oluwafeyi Florence Adedoyin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255993317 PECOS PAC ID: 8224490255 Enrollment ID: I20230808002958 |
| Provider Name | Brianna Clark |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1043707854 PECOS PAC ID: 3476802471 Enrollment ID: I20231005001658 |
| Provider Name | Angela D Rowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396457081 PECOS PAC ID: 0840647517 Enrollment ID: I20231117000915 |
| Provider Name | Scott J Pusateri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538139563 PECOS PAC ID: 4587924360 Enrollment ID: I20231120001092 |
| Provider Name | Jennifer H Henry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104430610 PECOS PAC ID: 4183072184 Enrollment ID: I20231201001431 |
| Provider Name | Morgan Elizabeth Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538646484 PECOS PAC ID: 4082051776 Enrollment ID: I20240318000206 |
| Provider Name | Sara R Ruth-farris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255769824 PECOS PAC ID: 6800331638 Enrollment ID: I20240716003277 |
| Provider Name | Edith G Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841021409 PECOS PAC ID: 0345789590 Enrollment ID: I20240831000159 |
| Provider Name | Ashleigh N Cardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922862499 PECOS PAC ID: 3476999152 Enrollment ID: I20241207000234 |
| Provider Name | Haley R George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952954414 PECOS PAC ID: 4385173582 Enrollment ID: I20250131002146 |
| Provider Name | Jenifer Lei Corter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306694625 PECOS PAC ID: 1254856974 Enrollment ID: I20250415003472 |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Mustang Dr, Anderson, MO 64831 Phone: 417-451-9450 Fax: 417-451-8903 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-2273 Fax: 417-845-0094 | |
Sgoh Acquisition, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 E Main St, Anderson, MO 64831 Phone: 417-845-6984 | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Main Street, Anderson, MO 64831 Phone: 417-845-6984 Fax: 417-845-6976 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-2273 Fax: 417-845-0094 | |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Park St, Anderson, MO 64831 Phone: 417-845-0545 Fax: 417-845-0548 |