| Ozarks Medical Center | |
| 
					100 Medical Drive Alton MO 65606  | |
| (417) 778-7227 | |
| (417) 778-7225 | 
| Full Name | Ozarks Medical Center | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 100 Medical Drive, Alton, Missouri | 
| Authorized Official Name and Position | Thomas W Keller (PRESIDENT AND CEO) | 
| Authorized Official Contact | 4172569111 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ozarks Medical Center Po Box 1100 West Plains MO 65775-1100 Ph: () -  | Ozarks Medical Center 100 Medical Drive Alton MO 65606 Ph: (417) 778-7227  | 
| NPI Number | 1588791842 | 
|---|---|
| Provider Enumeration Date | 02/27/2007 | 
| Last Update Date | 11/12/2020 | 
| Medicare PECOS PAC ID | 3870491863 | 
|---|---|
| Medicare Enrollment ID | O20080130000696 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588791842 | NPI | - | NPPES | 
| 593965304 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary | 
Shepherd's View, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Shepherds Lane, Alton, MO 65606 Phone: 417-778-7959 Fax: 417-778-1849  |