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Contact Information

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
504 WEST BROADWAY AVE.
AVA, MO65608-6560
 Phone: 417-683-5739
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

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

NPI # 1942785399
LBN Legal business name DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Authorized official JENNIFER HEINLEIN - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2018
Last updated 10/02/2018 - About 8 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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