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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI # 1518342153
LBN Legal business name DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Authorized official TIM SHRYACK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2015
Last updated 09/02/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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