| Ozarks Medical Center | |
|
Omc/zizzer Clinic 1013 College Street West Plains MO 65775 | |
| (417) 505-7123 | |
| Not Available |
| Full Name | Ozarks Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | Omc/zizzer Clinic, West Plains, Missouri |
| Authorized Official Name and Position | Barrylyn Ulmanis (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 4172576792 |
| 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: (417) 256-9111 | Ozarks Medical Center Omc/zizzer Clinic 1013 College Street West Plains MO 65775 Ph: (417) 505-7123 |
| NPI Number | 1598373359 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 3870491863 |
|---|---|
| Medicare Enrollment ID | O20200804000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598373359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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