| Ozark Tri-county Health Care Consortium | |
|
14762 W State Highway 90 Noel MO 64854-8108 | |
| (417) 451-9450 | |
| (417) 451-8903 |
| Full Name | Ozark Tri-county Health Care Consortium |
|---|---|
| Speciality | Clinic/Center |
| Location | 14762 W State Highway 90, Noel, Missouri |
| Authorized Official Name and Position | Donald 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 Health Care Consortium Po Box 758 Neosho MO 64850-0758 Ph: (417) 451-9450 | Ozark Tri-county Health Care Consortium 14762 W State Highway 90 Noel MO 64854-8108 Ph: (417) 451-9450 |
| NPI Number | 1922764216 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 8123918257 |
|---|---|
| Medicare Enrollment ID | O20220105000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922764216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sgoh Acquisition, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Main St, Noel, MO 64854 Phone: 417-475-6151 Fax: 417-475-6559 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 318 Sulphur St, Noel, MO 64854 Phone: 417-451-9450 Fax: 417-451-8903 |