Provider Demographics
NPI:1578742276
Name:OZARK FAMILY CLINIC, INC
Entity Type:Organization
Organization Name:OZARK FAMILY CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-581-6411
Mailing Address - Street 1:5528 N FARMER BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-5315
Mailing Address - Country:US
Mailing Address - Phone:417-581-6411
Mailing Address - Fax:417-581-6412
Practice Address - Street 1:5528 N FARMER BRANCH RD
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-5315
Practice Address - Country:US
Practice Address - Phone:417-581-6411
Practice Address - Fax:417-581-6412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care