Organization Active NPI

Ozark County Health Center

  • Public Health or Welfare Agency
  • Gainesville, MO
National Provider Identifier
1396874475
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
163WC1500X Issued in MO
Legal business name
OZARK COUNTY HEALTH CENTER
Practice address
304 W. Third Street
Gainesville, MO 65655-0180
Phone
(417) 679-3334
Fax
(417) 679-3828
NPI assigned
Mar 5, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rhonda J. Suter
Title
Administrator
Phone
(417) 679-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 163WC1500X MO Primary

Addresses

Primary practice location

304 W. Third Street
Gainesville, MO 65655-0180

Mailing address

PO Box 180
304 W. Third Street
Gainesville, MO 65655-0180
Phone (417) 679-3334

Other identifiers 2

IdentifierTypeStateIssuer
280904103MedicaidMO
260904107MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1396874475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "address_2": "304 W. THIRD STREET",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656550180",
            "telephone_number": "417-679-3334",
            "fax_number": "417-679-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W. THIRD STREET",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656550180",
            "telephone_number": "417-679-3334",
            "fax_number": "417-679-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SUTER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-679-3334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "163WC1500X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280904103",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260904107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.