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OZARKS AREA COMMUNITY ACTION CORPORATION HEAD START NPI 1548317050


NPI Information

NPI: 1548317050
Provider Name: OZARKS AREA COMMUNITY ACTION CORPORATION HEAD START
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
215 S BARNES AVE
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 864-3430
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OZARKS AREA COMMUNITY ACTION CORPORATION HEAD START is a pediatrics in Springfield, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OZARKS AREA COMMUNITY ACTION CORPORATION HEAD START NPI is 1548317050. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 S BARNES AVE
SPRINGFIELD, MO
ZIP 65802-204
Phone: (417) 864-3430
Fax: (417) 864-3449

The provider's authorized official is Deborah Clark .
The authorized official title is Health Services Assistant and has the following contact phone number (417) 864-3430.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 6/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2235Z00000XSpeech-Language PathologistNo
3208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500365200MEDICAIDMISSOURI

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: 4/28/2024

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