Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINLEIN (COO)
(417) 683-5739
Entity
Organization
Contact information
Practice address
4900 STATE HWY 160, THEODOSIA, MO 65761
(417) 683-5739
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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