Organization
OZARKS RESOURCE GROUP
Active
Parent organization
OZARKS RESOURCE GROUP
Other names
Ozarks Community Health Center - Miles for Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
OZARKS RESOURCE GROUP
Authorized official
MR. SCOTT D CROUCH (CEO)
(417) 745-2121
Entity
Organization
Contact information
Practice address
203 E. BROADWAY ST., BOLIVAR, MO 65613
(417) 328-6334
(417) 326-8111
Mailing address
PO BOX 125, HERMITAGE, MO 65668-0125
(417) 745-2121
(417) 745-0056
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639421050
—
MO
Enumeration date
12/02/2015
Last updated
05/29/2024
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