Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Other names
Missouri Ozarks Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SHRYACK (CEO)
(417) 683-4831
Entity
Organization
Contact information
Practice address
1604 C. NORTH MAIN STREET, MOUNTAIN GROVE, MO 65711
(417) 926-1713
(417) 926-1209
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
09/02/2015
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