DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (NPI# 1710221130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710221130 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. |
| Other Organization Name | MISSOURI OZARKS COMMUNITY HEALTH |
| Practice Address |
904 Zimmerman Ave Cabool MO 65689-7365 |
| Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
| Practice Telephone | 4176834831 |
| Mailing Telephone | 4176834831 |
| Mailing Fax Number | 4176831602 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | RICHARD 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 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1598762593 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 201 Elm St, Gainesville, MO 65655-9998 | 2005-07-05 |
| 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 |
904 ZIMMERMAN AVE |
| City | CABOOL |
| State | MO |
| Zip Code | 65689-7365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866299 | Michael Haff | Physical Therapist | 83 State Route Am, Cabool, MO 65689 | 2012-10-25 |
| 1073888392 | Rebecca Jo Smotherman | Counselor | 13475 Industrial Drive, Cabool, MO 65689 | 2012-03-20 |
| 1538329891 | Ray Perry & Associates Optometrists Inc | Optometrist | 413 Ozark Street, Cabool, MO 65689 | 2008-06-11 |
| 1447390505 | Lester E. Cox Medical Centers | Family Medicine | 615 Main Street, Cabool, MO 65689 | 2007-02-07 |
| 1285783985 | Dale Jesteen Cartwright | Dentist | 530 Spruce Ave, Cabool, MO 65689 | 2007-01-10 |
| 1770632556 | Amanda Sue Frederick | Social Worker | 12581 Dallas Lane, Cabool, MO 65689 | 2007-01-09 |
| 1760503759 | Cartwright, Dmd & Dolenz, Dds, PC | Dentist | 530 Spruce Ave, Cabool, MO 65689 | 2007-04-03 |
| 1912026741 | Teresa Lynn Cartwright | Dentist | 530 Spruce Ave, Cabool, MO 65689 | 2007-03-29 |
| 1962529644 | Texas County Memorial Hospital | Clinic/Center | 500 Main Street, Cabool, MO 65689 | 2007-03-26 |
| 1891867784 | Diann Kay Panek | Counselor | 536 Main St, Cabool, MO 65689 | 2006-11-15 |
| Find all providers in zip 65689 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
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| 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.