DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (NPI# 1912904004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904004 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. |
| Other Organization Name | MISSOURI OZARKS COMMUNITY HEALTH |
| Practice Address |
804 N Highway 5 Mansfield MO 65704-7301 |
| Mailing Address |
Po Box 257 Mansfield MO 65704-0257 |
| Practice Telephone | 4179248809 |
| Practice Fax Number | 4179248870 |
| Mailing Telephone | 4179248809 |
| Mailing Fax Number | 4179248870 |
| 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 |
| 1598762593 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 201 Elm St, Gainesville, MO 65655-9998 | 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 |
804 N HIGHWAY 5 |
| City | MANSFIELD |
| State | MO |
| Zip Code | 65704-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330689 | Jacqueline Austin | Nurse Practitioner | 804 N Highway 5, Mansfield, MO 65704-7301 | 2019-01-11 |
| 1588194369 | Kelsey Alberg | Dentist | 804 N Highway 5, Mansfield, MO 65704-7301 | 2017-06-14 |
| 1417350380 | Brenda Taylor | Nurse Practitioner | 804 N Highway 5, Mansfield, MO 65704-7301 | 2014-10-06 |
| 1568774503 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518269323 | Amy Parmenter Barber | Counselor | 2988 Walls Ford Road, Mansfield, MO 65704 | 2010-11-30 |
| 1265683221 | Erin Marie Duck | Physical Therapist | 3115 Highway A, Mansfield, MO 65704 | 2008-10-08 |
| 1730201690 | Reaching Forward | Day Training, Developmentally Disabled Services | 113 E Summit St, Mansfield, MO 65704 | 2007-04-04 |
| 1811036791 | Mansfield Clinic, Inc. | Clinic/Center | 304 West Commercial Street, Mansfield, MO 65704 | 2007-02-06 |
| 1649324781 | Max E Harkey | Dentist | 104 S. Lincoln Ave, Mansfield, MO 65704 | 2007-01-23 |
| 1528156080 | Kenneth H Dugan | Family Medicine | 304 W. Commercial, Mansfield, MO 65704 | 2006-10-10 |
| 1437182938 | Rural Psychologists & Associates LLC | Psychologist | 812 N Hwy 5, Mansfield, MO 65704 | 2006-07-08 |
| 1548316375 | Max E. Harkey, D.m.d., P.C. | Dentist | 104 S. Lincoln Ave, Mansfield, MO 65704 | 2007-01-26 |
| 1033220645 | Michael Allen Buttenob | Chiropractor | 101 B N Bus 60, Mansfield, MO 65704-0045 | 2006-08-31 |
| 1316376734 | Mansfield Chiropractic Center | Clinic/Center | 101b N Business 60, Mansfield, MO 65704-7101 | 2013-11-06 |
| Find all providers in zip 65704 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1285942284 | Council for Advancement of Social Service and Education | Clinic/Center | 907 Polk St, Mansfield, LA 71052-2520 | 2010-09-24 |
| 1649599119 | Third Street Community Clinic, Inc. | Clinic/Center | 770 Balgreen Drive, Suite 207, Mansfield, OH 44906-2633 | 2010-05-24 |
| 1548594526 | Third Street Dental Mobile Van | Clinic/Center | 600 W 3rd St, Mansfield, OH 44906-2633 | 2009-09-24 |
| 1750461455 | North Penn Comprehensive Health Services | Clinic/Center | 416 S Main St, Mansfield Laurel Health Center, Mansfield, PA 16933-1510 | 2006-10-17 |
| 1336252519 | Third Street Community Clinic, Inc. | Clinic/Center | 600 W. Third Street, Mansfield, OH 44906-2633 | 2006-08-15 |
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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.