Ozark Tri-County Health Care Consortium
Organization Active NPI Federally Qualified Health Center (FQHC) · Neosho, MO
NPI 1235680588 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1235680588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
- Practice address
- 475 Nelson Ave
Neosho, MO 64850-8825 - Phone
- (417) 451-9450
- Fax
- (417) 451-8903
- NPI assigned
- Oct 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Don M McBride
- Title
- Chief Executive Officer
- Phone
- (417) 451-9450
Corporate family (same tax ID) 46
National Provider Directory
- Tax ID family
- Ozark Tri-County Consortium
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
475 Nelson Ave
Neosho, MO 64850-8825
Mailing address
PO Box 758
Neosho, MO 64850-0758
Phone (417) 451-9450
Other names
- Access Family Care
NPI Registry JSON
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667520000000",
"number": "1235680588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648500758",
"telephone_number": "417-451-9450",
"fax_number": "417-451-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NELSON AVE",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648508825",
"telephone_number": "417-451-9450",
"fax_number": "417-451-8903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OZARK TRI-COUNTY HEALTH CARE CONSORTIUM",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-21",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "MCBRIDE",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "417-451-9450"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Access Family Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Access Family Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Neosho, MO
- Ozark Tri County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
All providers in Neosho, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.