Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Other names
Missouri Ozarks Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINLEIN (HRO)
(417) 683-4831
Entity
Organization
Contact information
Practice address
504 NW 10TH AVE, AVA, MO 65608
(417) 683-4831
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2007014535
MO
Other
Enumeration date
06/14/2007
Last updated
07/13/2007
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