Organization
OZARKS RESOURCE GROUP
Active
Other names
Ozarks Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT CROUCH (CEO)
(417) 745-2121
Entity
Organization
Contact information
Practice address
111 N MAIN ST, URBANA, MO 65767-9152
(417) 745-2121
(417) 745-6141
Mailing address
102 E JACKSON ST, PO BOX 125, HERMITAGE, MO 65668-9231
(417) 745-2121
(417) 745-6141
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
10/01/2015
Last updated
05/29/2024
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