Provider Demographics
NPI:1386095255
Name:OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Entity type:Organization
Organization Name:OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-451-9450
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-0758
Mailing Address - Country:US
Mailing Address - Phone:417-451-9450
Mailing Address - Fax:
Practice Address - Street 1:1335 E FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MO
Practice Address - Zip Code:64836-3125
Practice Address - Country:US
Practice Address - Phone:417-674-2141
Practice Address - Fax:417-237-0655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-22
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Single Specialty