| Ozark Mountain Clinic LLC | |
|
715 Maple Valley Dr Farmington MO 63640-1944 | |
| (573) 760-4927 | |
| Not Available |
| Full Name | Ozark Mountain Clinic LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 715 Maple Valley Dr, Farmington, Missouri |
| Authorized Official Name and Position | Michelle Allen (OWNER) |
| Authorized Official Contact | 5737604927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Mountain Clinic LLC 715 Maple Valley Dr Farmington MO 63640-1944 | Ozark Mountain Clinic LLC 715 Maple Valley Dr Farmington MO 63640-1944 Ph: (573) 760-4927 |
| NPI Number | 1326919507 |
|---|---|
| Provider Enumeration Date | 09/12/2025 |
| Last Update Date | 09/12/2025 |
| Certification Date | 09/12/2025 |
| Medicare PECOS PAC ID | 0345737078 |
|---|---|
| Medicare Enrollment ID | O20251015003172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326919507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Michelle E Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467639278 PECOS PAC ID: 0840379459 Enrollment ID: I20080508000069 |
| Provider Name | Whitney Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015768 PECOS PAC ID: 3274944426 Enrollment ID: I20201119002947 |
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