| Ozark Tri County Healthcare Consortium | |
|
117 N School St Goodman MO 64843-9723 | |
| (417) 782-6200 | |
| (417) 782-6210 |
| Full Name | Ozark Tri County Healthcare Consortium |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 N School St, Goodman, Missouri |
| Authorized Official Name and Position | Don M Mcbride (CEO) |
| Authorized Official Contact | 4174519450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Tri County Healthcare Consortium Po Box 758 Neosho MO 64850-0758 Ph: (417) 451-9450 | Ozark Tri County Healthcare Consortium 117 N School St Goodman MO 64843-9723 Ph: (417) 782-6200 |
| NPI Number | 1558712422 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 8123918257 |
|---|---|
| Medicare Enrollment ID | O20161103001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558712422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 East Main Street, Goodman, MO 64843 Phone: 417-364-8300 Fax: 417-364-7290 | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Main Street, Goodman, MO 64843 Phone: 417-364-8300 Fax: 417-364-7290 | |
Sgoh Acquisition, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912b State Highway 59, Goodman, MO 64843 Phone: 417-364-7290 |