Provider Demographics
NPI:1134451636
Name:OZARK CENTER - DD OUTPATIENT
Entity type:Organization
Organization Name:OZARK CENTER - DD OUTPATIENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRIGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-347-7600
Mailing Address - Street 1:2934 MCCLELLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1632
Mailing Address - Country:US
Mailing Address - Phone:417-347-7580
Mailing Address - Fax:
Practice Address - Street 1:2934 MCCLELLAND BLVD
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1632
Practice Address - Country:US
Practice Address - Phone:417-347-7580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services