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OZARK FAMILY MEDICAL CLINIC, LLC
NPI 1124800073
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since October 16, 2023CLIA 26D2291317 · Waiver
2725 N WESTWOOD BLVD STE 17, POPLAR BLUFF, MO 63901(573) 686-5510 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ozark Family Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OZARK FAMILY MEDICAL CLINIC, LLC (NPI 1124800073) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Ashley Tinsley, Owner, as its authorized official.

NPPES Registry Identity

NPI1124800073
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameOZARK FAMILY MEDICAL CLINIC, LLC
Location Address2725 N WESTWOOD BLVD STE 17Poplar Bluff, MO 63901-2367
Mailing Address2725 N Westwood BlvdPoplar Bluff, MO 63901-2346
Phone(573) 686-5510
Organization SubpartNo
Authorized OfficialAshley TinsleyOwner · (573) 686-5510
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1124800073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2725 N WESTWOOD BLVD STE 17, Poplar Bluff, MO 63901
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2291317

Ozark Family Medical Clinic, LLC · Poplar Bluff, MO
Active · expires Oct 9, 2027
CLIA Number26D2291317
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorTammy J. Lindsay
Laboratory Phone(573) 686-5510
Laboratory LocationOzark Family Medical Clinic, LLC2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST THERAPY SERVICES
Physical Therapist
2725 N WESTWOOD BLVD STE 17
POPLAR BLUFF, MO 63901
Butler County (573) 778-9348
OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL
Clinic/Center (Physical Therapy)
2725 N WESTWOOD BLVD STE 17
POPLAR BLUFF, MO 63901
Butler County (573) 778-9348
OZARK FAMILY MEDICAL CLINIC, LLC
Family Medicine
2725 N WESTWOOD BLVD STE 17
POPLAR BLUFF, MO 63901
Butler County (573) 686-5510
JILL BAUGH PT
Physical Medicine & Rehabilitation
2725 N WESTWOOD BLVD STE 17
POPLAR BLUFF, MO 63901
Butler County (573) 778-9348
MISS MEGAN VICTORIA POLD DPT
Physical Therapist
2725 N WESTWOOD BLVD STE 17
POPLAR BLUFF, MO 63901
Butler County (573) 778-9348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ozark Family Medical Clinic, LLC's NPI number?

The NPI number for Ozark Family Medical Clinic, LLC is 1124800073. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Ozark Family Medical Clinic, LLC located?

Ozark Family Medical Clinic, LLC is located at 2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901. The listed phone number is (573) 686-5510.

What is Ozark Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Ozark Family Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2291317) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ozark Family Medical Clinic, LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.