| Ozarks Medical Center | |
| 
					9104 State Highway 19 Winona MO 65588-8389  | |
| (573) 325-4237 | |
| (573) 325-4996 | 
| Full Name | Ozarks Medical Center | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 9104 State Highway 19, Winona, 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 28 West Plains MO 65775-0028 Ph: (573) 325-4237  | Ozarks Medical Center 9104 State Highway 19 Winona MO 65588-8389 Ph: (573) 325-4237  | 
| NPI Number | 1558497917 | 
|---|---|
| Provider Enumeration Date | 02/27/2007 | 
| Last Update Date | 11/13/2020 | 
| Medicare PECOS PAC ID | 3870491863 | 
|---|---|
| Medicare Enrollment ID | O20080129000578 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558497917 | NPI | - | NPPES | 
| 590492104 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary |