| Ozark Tri-county Health Care Consortium | |
|
1809 S Connor Ave Joplin MO 64804-1837 | |
| (417) 782-6200 | |
| (417) 782-6210 |
| Full Name | Ozark Tri-county Health Care Consortium |
|---|---|
| Speciality | Clinic/Center |
| Location | 1809 S Connor Ave, Joplin, Missouri |
| Authorized Official Name and Position | Donald Michael 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 Health Care Consortium Po Box 758 Neosho MO 64850-0758 Ph: (417) 451-9450 | Ozark Tri-county Health Care Consortium 1809 S Connor Ave Joplin MO 64804-1837 Ph: (417) 782-6200 |
| NPI Number | 1649837444 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 8123918257 |
|---|---|
| Medicare Enrollment ID | O20240425001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649837444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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