| Missouri Ozarks Community Health | |
|
904 Zimmerman Ave Cabool MO 65689-7365 | |
| (417) 683-4831 | |
| Not Available |
| Full Name | Missouri Ozarks Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 904 Zimmerman Ave, Cabool, Missouri |
| Authorized Official Name and Position | Richard Sims (CEO) |
| Authorized Official Contact | 4176834831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Ozarks Community Health Po Box 1359 Ava MO 65608-1359 Ph: (417) 683-4831 | Missouri Ozarks Community Health 904 Zimmerman Ave Cabool MO 65689-7365 Ph: (417) 683-4831 |
| NPI Number | 1710221130 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 11/26/2012 |
| Medicare PECOS PAC ID | 3072423052 |
|---|---|
| Medicare Enrollment ID | O20140801000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710221130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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