DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (NPI# 1942785399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942785399 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. |
| Practice Address |
504 West Broadway Ave. Ava MO 65608-6560 |
| Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
| Practice Telephone | 4176835739 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | JENNIFER HEINLEIN (COO) |
| Authorized Official Telephone | 4176834831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| 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 |
| 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 |
| 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 |
504 WEST BROADWAY AVE. |
| City | AVA |
| State | MO |
| Zip Code | 65608-6560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219959 | Joel Javan Casimir | Dentist | 504 West Broadway Ave., Ava, MO 65608-1359 | 2014-06-07 |
| 1811495740 | Tory Spurgin | Social Worker | 504 West Broadway Ave., Ava, MO 65608 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326871 | Regional Services | Nurse Practitioner | 507 Ne 3rd St, Ava, MO 65608 | 2018-08-15 |
| 1629558168 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 916 N.w. Springfield Ave, Suite F, Ava, MO 65608 | 2018-08-15 |
| 1235639592 | Carolyn Marie Myers | Occupational Therapist | 223 South Jefferson Street, Ava, MO 65608 | 2018-02-13 |
| 1114386497 | Judy King | Counselor | 202 Nw Str Str 1, Ava, MO 65608 | 2016-02-16 |
| 1548653009 | Grace Smith | Pharmacist | 124 West Washington Avenue, Ava, MO 65608 | 2015-03-09 |
| 1427397769 | Rebecca L Mcbride | Nurse Practitioner | 120 W Lincoln Ave, Ava, MO 65608 | 2013-02-06 |
| 1154695716 | Medical Equipment Inspection & Repair | Durable Medical Equipment & Medical Supplies | 122 East Washington Ave, Ava, MO 65608 | 2012-02-29 |
| 1932471695 | Lacinda Kaye Higley | Mechanotherapist | 603 North West 10th Ave, Ava, MO 65608 | 2012-01-27 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1013224047 | Family Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 916 N.w. 12th Ave, Suite F, Ava, MO 65608 | 2010-09-13 |
| Find all providers in zip 65608 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1790164762 | Ozark Tri-county Health Care Consortium | Dentist | 3201 S Arrowhead Dr, Independence, MO 64057-1196 | 2015-05-23 |
| 1255626826 | Heartland Outreach Providers, Inc. | Dentist | 18921 E Valley View Pkwy Ste G, Suite 215, Independence, MO 64055-7024 | 2011-06-12 |
| 1487829644 | Phelps County Regional Medical Center | Dentist | 1202 Homelife Drive, Rolla, MO 65401 | 2008-04-28 |
| 1104010255 | Michael Bruce Hogan | Dentist | 108 Cecil St Ste G, Camdenton, MO 65020-7066 | 2007-08-31 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1083836381 | The Tooth Truck Inc. Dba Ronald Mcdonald Care Mobile of The Ozarks | Dentist | 949 E. Primrose, Springfield, MO 65807 | 2007-05-03 |
| 1447384417 | Chyrelle Louann Blount | Dentist | 15479 Us Highway 160, Forsyth, MO 65653 | 2007-03-14 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| 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.