DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (NPI# 1598762593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598762593 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. |
| Other Organization Name | MISSOURI OZARKS COMMUNITY HEALTH |
| Practice Address |
201 Elm St Gainesville MO 65655-9998 |
| Mailing Address |
Po Box 216 Gainesville MO 65655-0216 |
| Practice Telephone | 4176792775 |
| Practice Fax Number | 4176792633 |
| Mailing Telephone | 4176792775 |
| Mailing Fax Number | 4176792633 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | MR. RICHARD R SIMS (CEO) |
| Authorized Official Telephone | 4176834831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Missouri Ozarks Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612746 | Douglas County Public Health Services Group, Inc. | Family Medicine | 2001 Dys Dr, Cabool, MO 65689-9166 | 2019-04-23 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1710221130 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 904 Zimmerman Ave, Cabool, MO 65689-7365 | 2012-11-26 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1912904004 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2005-07-05 |
| 1912904145 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 504 Nw 10th Avenue, Ava, MO 65608-1359 | 2005-07-01 |
| 1629639109 | Douglas County Public Health Services Group, Inc. | Family Medicine | 135 College Ave., Licking, MO 65542 | 2019-06-25 |
| 1942785399 | Douglas County Public Health Services Group, Inc. | Dentist | 504 West Broadway Ave., Ava, MO 65608-6560 | 2018-10-02 |
| 1326585761 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1340 S Sam Houston Blvd, Houston, MO 65483-2045 | 2017-01-24 |
| 1568774503 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2010-07-07 |
| Street Address |
201 ELM ST |
| City | GAINESVILLE |
| State | MO |
| Zip Code | 65655-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218742 | Callie Coppedge Emmart | Physical Therapist | 403 Hwy 160 West, Gainesville, MO 65655 | 2013-07-17 |
| 1477702454 | Janice Kay Bushong | Counselor | 195 Main St., Gainesville, MO 65655 | 2008-09-15 |
| 1487838413 | Randy L Hollrah | Physical Therapist | 403 W. Hwy 160, Gainesville, MO 65655 | 2007-12-27 |
| 1588733497 | Edward Henegar | Specialist | 404 Highway 160, Gainesville, MO 65655 | 2006-11-06 |
| 1801821673 | Frances Anne Kimbrough | Physical Therapist | 37 Medical Drive, Gainesville, MO 65655 | 2006-07-11 |
| 1386608602 | Gainesville Pharmacy LLC | Pharmacist | 404 W. Hwy 160, Gainesville, MO 65655 | 2006-04-13 |
| 1629059399 | Norman J Klayman | Dentist | 308 North Main St, Gainesville, MO 65655 | 2005-11-09 |
| 1841812369 | Dawson Loschen | Dentist | 87 Elm Street, Gainesville, MO 65655 | 2020-05-07 |
| 1083132567 | Chris V Geroff Dds PC | Clinic/Center | 195 Main Street, Gainesville, MO 65655 | 2017-09-05 |
| 1154860435 | Maranatha Health and Wellness Centre, LLC | Chiropractor | 333 Main Street, Gainesville, MO 65655 | 2017-02-20 |
| Find all providers in zip 65655 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1740513928 | Trenton Medical Center Inc | Clinic/Center | 1014 Nw 57th St, Gainesville, FL 32605-4486 | 2009-09-07 |
| 1851590509 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 201 S. Elm Street, Gainesville, MO 65655 | 2007-07-13 |
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| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 65655 |
Please comment or provide details below to improve the information on DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.