Ozark Family Health Care Inc | |
405 N Main St Mountain Grove MO 65711-1656 | |
(417) 926-3979 | |
Not Available |
Full Name | Ozark Family Health Care Inc |
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Speciality | Family Medicine |
Location | 405 N Main St, Mountain Grove, Missouri |
Authorized Official Name and Position | Michael David Ball (PHYSICIAN/OWNER) |
Authorized Official Contact | 4179263979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ozark Family Health Care Inc 405 N Main St Mountain Grove MO 65711-1656 Ph: (417) 926-3979 | Ozark Family Health Care Inc 405 N Main St Mountain Grove MO 65711-1656 Ph: (417) 926-3979 |
NPI Number | 1639344237 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 08/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639344237 | NPI | - | NPPES |
241513407 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R6B35 (Missouri) | Primary |
Mountain Grove Medical And Laser Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Busch Ave, Mountain Grove, MO 65711 Phone: 417-926-6643 Fax: 417-926-6317 | |