| Organization Name: | OZARKS MEDICAL CENTER |
| NPI Number: | 1376679423 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS W. KELLER (PRESIDENT AND CEO) |
| Mailing Address: | 500 East 19th Street Suite A Mountain Grove |
| State: | MO US |
| Postal Code: | 65711 |
| Phone Number: | 4179266563 |
| Fax Number: | 4179265820 |
| NPI Enumeration Date: | 02/25/2007 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 17447 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |