Provider Demographics
NPI:1285906107
Name:THE ARC OF THE OZARKS
Entity type:Organization
Organization Name:THE ARC OF THE OZARKS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-864-7887
Mailing Address - Street 1:1721 W. ELFINDALE ST.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-2139
Mailing Address - Country:US
Mailing Address - Phone:417-874-1942
Mailing Address - Fax:417-771-3723
Practice Address - Street 1:1721 W ELFINDALE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-1295
Practice Address - Country:US
Practice Address - Phone:417-874-1942
Practice Address - Fax:417-771-3723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1093134231Medicaid
MO1184993750Medicaid
MO1285906107Medicaid
MO1407098254OtherNPI
MO1952602468Medicaid
MO1497093488Medicaid
MO1871039404Medicaid
MO1134664659Medicaid
MO1003236977Medicaid
MO1215295050Medicaid
MO1477617967Medicaid
MO1134521131Medicaid
MO107377257Medicaid
MO1417496605Medicaid