| Ozarks Healthcare Wound Care Mountain Grove | |
|
500 E 19th St Ste C Mountain Grove MO 65711-1115 | |
| (417) 926-6563 | |
| (417) 926-0911 |
| Full Name | Ozarks Healthcare Wound Care Mountain Grove |
|---|---|
| Speciality | Clinic/center |
| Location | 500 E 19th St Ste C, Mountain Grove, Missouri |
| Authorized Official Name and Position | Terence F Farrell (PRESIDENT & CEO) |
| Authorized Official Contact | 4172569111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare Wound Care Mountain Grove Po Box 1100 West Plains MO 65775-1100 Ph: (417) 256-9111 | Ozarks Healthcare Wound Care Mountain Grove 500 E 19th St Ste C Mountain Grove MO 65711-1115 Ph: (417) 926-6563 |
| NPI Number | 1891478301 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 07/16/2026 |
| Certification Date | 07/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891478301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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