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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up