DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP INC. NPI 1568774503

NPI Information

NPI: 1568774503
Provider Name: DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: MISSOURI OZARKS COMMUNITY HEALTH
CLIA Number: 26D1034496
Address: 804 N HIGHWAY 5
MANSFIELD, MO
ZIP 65704
Phone: (417) 924-8809

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NPI Details

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. is a federally qualified health center (fqhc) clinic center in Mansfield, MO. DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. NPI is 1568774503. The provider is registered as an organization entity type.
The provider Is Doing Business As Missouri Ozarks Community Health.

The provider's business location address is:

804 N HIGHWAY 5
MANSFIELD, MO
ZIP 65704-301
Phone: (417) 924-8809
Fax: (417) 924-8870

The provider's authorized official is Jennifer Heinlein .
The authorized official title is Hro and has the following contact phone number (417) 683-4831.

The CLIA number assigned to this NPI record is 26D1034496 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/7/2010 and was last updated on 1/26/2011.

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	261QD0000X	Clinic/Center	Dental	2010015973	MISSOURI	No
2	261QF0400X	Clinic/Center	Federally 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
1	26-1881	OTHER		MEDICARE PART A
2	990001318	MEDICARE OSCAR/CERTIFICATION
3	505408526	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: 3/30/2025

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