OZARKS RESOURCE GROUP NPI 1164897161

NPI Information

  • NPI: 1164897161
  • Provider Name: OZARKS RESOURCE GROUP
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: OZARKS COMMUNITY HEALTH CENTER - MILES FOR SMILES
  • CLIA Number: 26D0688601
  • Address: 203 E. BROADWAY ST.
    BOLIVAR, MO
    ZIP 65613
  • Phone: (417) 328-6334

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NPI Details

OZARKS RESOURCE GROUP is a federally qualified health center (fqhc) clinic center in Bolivar, MO. OZARKS RESOURCE GROUP NPI is 1164897161. The provider is registered as an organization entity type.
The provider Is Doing Business As Ozarks Community Health Center - Miles For Smiles.

The provider's business location address is:

203 E. BROADWAY ST.
BOLIVAR, MO
ZIP 65613
Phone: (417) 328-6334
Fax: (417) 326-8111

The provider's authorized official is Scott D Crouch .
The authorized official title is Ceo and has the following contact phone number (417) 745-2121.

The CLIA number assigned to this NPI record is 26D0688601 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 5/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639421050MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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