| Douglas County Public Health Services Group, Inc. | |
|
304 E. Main Ave. Ava MO 65608 | |
| (417) 683-5739 | |
| Not Available |
| Full Name | Douglas County Public Health Services Group, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 304 E. Main Ave., Ava, Missouri |
| Authorized Official Name and Position | Jennifer Heinlein (COO) |
| Authorized Official Contact | 4176835739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas County Public Health Services Group, Inc. Po Box 1359 Ava MO 65608-1359 Ph: (417) 683-5739 | Douglas County Public Health Services Group, Inc. 304 E. Main Ave. Ava MO 65608 Ph: (417) 683-5739 |
| NPI Number | 1477270759 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477270759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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