| Ozark Tri-county Health Care Consortium | |
|
530 S Maiden Ln Joplin MO 64801 | |
| (417) 782-6200 | |
| (417) 782-6210 |
| Full Name | Ozark Tri-county Health Care Consortium |
|---|---|
| Speciality | Clinic/Center |
| Location | 530 S Maiden Ln, Joplin, 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 530 S Maiden Ln Joplin MO 64801 Ph: (417) 782-6200 |
| NPI Number | 1538151733 |
|---|---|
| Provider Enumeration Date | 08/16/2005 |
| Last Update Date | 11/04/2022 |
| Medicare PECOS PAC ID | 8123918257 |
|---|---|
| Medicare Enrollment ID | O20040319001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538151733 | NPI | - | NPPES |
| 508829801 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 16291158 (Missouri) | Primary |
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