The Ozarks Methodist Manor

LBN: The Ozarks Methodist Manor
The Ozarks Methodist Manor is an health care organization with primary practice located at 205 South College Ave , Marionville MO 65705-0403. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. The Ozarks Methodist Manor can be contacted via phone (417) 258-2573, or through Cooper, Mary Ann via phone (417) 258-2573.

Contact Information

Primary practice address
205 South College Ave Marionville MO 65705-0403
Phone: (417) 258-2573
Fax: (417) 258-2240
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Mary Ann LNHA
Phone: (417) 258-2573

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 031264 Missouri
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 039150 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030003 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 039149 Missouri

Profile Details

NPI number 1710960455
LBN Legal business name The Ozarks Methodist Manor
DBA Doing business as
Authorized official Cooper, Mary Ann LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated Sep 13th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710960455 NPPES
Missouri MEDICAID 106881006

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