OZARK COUNTY HEALTH CENTER NPI 1396874475

NPI Information

NPI: 1396874475
Provider Name: OZARK COUNTY HEALTH CENTER
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 26D0718120

Address:
304 W. THIRD STREET
GAINESVILLE, MO
ZIP 65655
Phone: (417) 679-3334
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OZARK COUNTY HEALTH CENTER is a public health or welfare in Gainesville, MO. OZARK COUNTY HEALTH CENTER NPI is 1396874475. The provider is registered as an organization entity type.

The provider's business location address is:

304 W. THIRD STREET
GAINESVILLE, MO
ZIP 65655-180
Phone: (417) 679-3334
Fax: (417) 679-3828

The provider's authorized official is Rhonda J. Suter .
The authorized official title is Administrator and has the following contact phone number (417) 679-3334.

The CLIA number assigned to this NPI record is 26D0718120 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 5/15/2008.

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
1	251K00000X	Public Health or Welfare		163WC1500X	MISSOURI	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
1	260904107	MEDICAID	MISSOURI
2	280904103	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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