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Ozark Valley Medical Clinic, LLC

Family Medicine Physician in Ozark, MO · enumerated 2018 · authorized official Patricia Derges, Ceo/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639686850

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Registry record

Entity type Organization (Type 2)
Legal business name Ozark Valley Medical Clinic, LLC
Other name <Unavail>
Parent organization Lift Up Someone Today
Practice address 5571 N 21st St, Ozark, MO, 65721
Phone (417) 317-5330
Fax (417) 763-3370
Enumeration date Jan 9, 2018
Last updated in NPPES Mar 17, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2017032792 (MO) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2017017409 (MO) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2017024744 (MO) Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 2017032792 (MO) Secondary

Authorized official

Name Patricia Derges
Title Ceo/Owner
Phone (417) 317-5330

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Ozark Valley Medical Clinic, LLC?
Ozark Valley Medical Clinic, LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.