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DSH260078 Ozarks Medical Center DBA Ozarks Healthcare (Active)
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Main Details
Name
Ozarks Medical Center DBA Ozarks Healthcare
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260078
Medicare Provider Number
260078
Additional Details
Current Program Status
Active
Registration Date
9/8/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/10/2007
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Ozarks Medical Center DBA Ozarks Healthcare
Lacey Carter, Chief Operating Officer
(417) 256-9111 Ext: 5968
Primary Contact
Ozarks Medical Center DBA Ozarks Healthcare
Katie Mahan, Director of 340B and Specialty Pharmacy Services
(417) 505-7700
Addresses
Street Address
1100 KENTUCKY AVENUE
WEST PLAINS, MO 65775-1100
Billing Address
Ozarks Medical Center DBA Ozarks Healthcare
PO Box 1100
West Plains, MO 65775
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/29/2010- UPDATED MEDICAID INFO. NOW BILLING MEDICAID; 9/5/2010- UPDATED (REMOVED) MEDICAID NUMBER (WAS 010492106);
10/29/2010
April 2025
April 2025
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