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Contact Information

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
504 NW 10TH AVE.
AVA, MO65608
 Phone: 417-683-4831
 Fax: 417-683-1602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1326158957
LBN Legal business name DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Authorized official RICHARD SIMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # 2006024118
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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