| Ozark Tri-county Health Care Consortium | |
| 
					202 E 8th St Pineville MO 64856-9643  | |
| (417) 451-9450 | |
| (417) 451-8903 | 
| Full Name | Ozark Tri-county Health Care Consortium | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 202 E 8th St, Pineville, 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) 437-8122  | Ozark Tri-county Health Care Consortium 202 E 8th St Pineville MO 64856-9643 Ph: (417) 451-9450  | 
| NPI Number | 1063178341 | 
|---|---|
| Provider Enumeration Date | 11/11/2021 | 
| Last Update Date | 11/04/2022 | 
| Medicare PECOS PAC ID | 8123918257 | 
|---|---|
| Medicare Enrollment ID | O20220104002400 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063178341 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 White Rock Rd, Pineville, MO 64856 Phone: 417-451-9450 Fax: 417-451-8903  | |
Sgoh Acquisition, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 Us Highway 71, Suite J & I, Pineville, MO 64856 Phone: 417-223-4290  | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 Phone: 417-223-4290 Fax: 417-223-4299  | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 Phone: 417-223-4290 Fax: 417-223-4299  |