Provider Demographics
NPI:1790038511
Name:OZARK CENTER
Entity type:Organization
Organization Name:OZARK CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
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 1:3230 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4029
Mailing Address - Country:US
Mailing Address - Phone:417-347-7600
Mailing Address - Fax:417-347-7608
Practice Address - Street 1:3230 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4029
Practice Address - Country:US
Practice Address - Phone:417-347-7600
Practice Address - Fax:417-347-7608
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OZARK CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-17
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty