Organization
OZARKS RESOURCE GROUP
Active
Other names
Ozarks Community Health Center - Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT D CROUCH (CEO)
(417) 745-2121
Entity
Organization
Contact information
Practice address
18627 JACKSON ST, HERMITAGE, MO 65668-8204
(417) 745-2134
(417) 745-2135
Mailing address
PO BOX 125, HERMITAGE, MO 65668-0125
(417) 745-2121
(417) 745-0056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235562836
—
MO
Enumeration date
06/26/2014
Last updated
01/09/2025
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