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DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP INC. NPI 1568774503


NPI Information

NPI: 1568774503
Provider Name: DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.

Doing Business As: MISSOURI OZARKS COMMUNITY HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
804 N HIGHWAY 5
MANSFIELD, MO
ZIP 65704
Phone: (417) 924-8809
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DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. is a federally qualified health center (fqhc) clinic center in Mansfield, MO. DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. NPI is 1568774503. The provider is registered as an organization entity type.
The provider Is Doing Business As Missouri Ozarks Community Health.

The provider's business location address is:

804 N HIGHWAY 5
MANSFIELD, MO
ZIP 65704-301
Phone: (417) 924-8809
Fax: (417) 924-8870

The provider's authorized official is Jennifer Heinlein .
The authorized official title is Hro and has the following contact phone number (417) 683-4831.

The enumeration date for this NPI number is 7/7/2010 and was last updated on 1/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental2010015973MISSOURINo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126-1881OTHERMEDICARE PART A
2990001318MEDICARE OSCAR/CERTIFICATION
3505408526MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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