NPIMap

Organization Active NPI

Douglas County Public Health Services Group, Inc.

Doing business as Missouri Ozarks Community Health

  • Federally Qualified Health Center (FQHC)
  • Ava, MO
National Provider Identifier
1871797597
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2007014535 Issued in MO
Legal business name
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Doing business as
Missouri Ozarks Community Health
Practice address
504 NW 10TH Ave
Ava, MO 65608
Phone
(417) 683-4831
Fax
(417) 683-1602
NPI assigned
Jun 14, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Jennifer Heinlein
Title
Hro
Phone
(417) 683-4831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2007014535 MO Primary

Addresses

Primary practice location

504 NW 10TH Ave
Ava, MO 65608

Mailing address

PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-4831

Other names 1

  • Missouri Ozarks Community Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Douglas County Public Health Services Group Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1871797597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656081359",
            "telephone_number": "417-683-4831",
            "fax_number": "417-683-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NW 10TH AVE",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "telephone_number": "417-683-4831",
            "fax_number": "417-683-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HEINLEIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "HRO",
        "authorized_official_telephone_number": "417-683-4831"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": "2007014535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Ozarks Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ava, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.