| Ozarks Community Health Center - Dental | |
|
18753 Spring Street Hermitage MO 65668-0125 | |
| (417) 745-2134 | |
| (417) 745-2135 |
| Full Name | Ozarks Community Health Center - Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 18753 Spring Street, Hermitage, Missouri |
| Authorized Official Name and Position | Scott D Crouch (CEO) |
| Authorized Official Contact | 4177452121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Community Health Center - Dental Po Box 125 Hermitage MO 65668-0125 Ph: (417) 745-2121 | Ozarks Community Health Center - Dental 18753 Spring Street Hermitage MO 65668-0125 Ph: (417) 745-2134 |
| NPI Number | 1326453408 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326453408 | NPI | - | NPPES |
| 1235562836 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hermitage Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 254 & Dallas, Hermitage, MO 65668 Phone: 417-745-2121 | |
Ozarks Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18614 Jackson Street, Hermitage, MO 65613 Phone: 417-745-2121 Fax: 417-745-6141 |