National Provider Identifier Database

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
1604 C. NORTH MAIN STREET
MOUNTAIN GROVE, MO65711
Phone: 417-926-1713
Fax: 417-926-1209
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.

NPI Number 1518342153
Legal business name
LBN
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Authorized official TIM SHRYACK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/24/2015
Last updated 09/02/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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