Ozarks Community Health Center | |
111 N Main St Urbana MO 65767-9152 | |
(417) 745-2121 | |
(417) 745-6141 |
Full Name | Ozarks Community Health Center |
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Speciality | Clinic/Center |
Location | 111 N Main St, Urbana, Missouri |
Authorized Official Name and Position | Scott Crouch (CEO) |
Authorized Official Contact | 4177452121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ozarks Community Health Center 102 E Jackson St Po Box 125 Hermitage MO 65668-9231 Ph: (417) 745-2121 | Ozarks Community Health Center 111 N Main St Urbana MO 65767-9152 Ph: (417) 745-2121 |
NPI Number | 1487024667 |
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Provider Enumeration Date | 10/01/2015 |
Last Update Date | 05/29/2024 |
Medicare PECOS PAC ID | 6002068723 |
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Medicare Enrollment ID | O20151102002171 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487024667 | NPI | - | NPPES |
1639421050 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Urbana Medical Clinic, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Broadway St, Urbana, MO 65767 Phone: 417-993-1999 Fax: 417-993-1806 | |
Ozarks Resource Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 S Dallas St, Urbana, MO 65767 Phone: 833-789-5933 |