institution
Douglas County Public Health Services Group, Inc.
Federally Qualified Health Center (FQHC) in Mansfield, Missouri
NPI 1568774503

Douglas County Public Health Services Group, Inc. is a Federally Qualified Health Center (FQHC) based in Ava, MO and is specialized in Federally Qualified Health Center (FQHC). Douglas County Public Health Services Group, Inc. practices in Mansfield, MO. The NPI Number for Douglas County Public Health Services Group, Inc. is 1568774503 and holds a License No. 2010015973 (Missouri).

The current practice location address for Douglas County Public Health Services Group, Inc. is 804 N Highway 5, Mansfield, MO and can be reached out via phone at 417-924-8809 and via fax at 417-924-8870.

Location: 804 N Highway 5, Mansfield, MO, 65608
institution
Provider Profile Details
NPI Number
1568774503
Provider Name
Douglas County Public Health Services Group, Inc.
Credential
Provider Entity Type
Organization
Address
804 N Highway 5, Mansfield, MO, 65608
Phone Number
417-924-8809
Fax Number
417-924-8870
Provider Enumeration Date
07/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26-1881 01 MEDICARE PART A
505408526 05 MO
institution
Provider Business Practice Location Address Details
Address
804 N Highway 5
City
State
Zip
65704-7301
Phone Number
417-924-8809
Fax Number
417-924-8870
person
Provider Business Mailing Address Details
Address
804 N Highway 5
City
State
Zip
65704-7301
Phone Number
417-924-8809
Fax Number
417-924-8870
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2010015973 (Missouri)
Definition
Definition to come...
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