Organization · Type 2 NPI

Ozarks Resource Group

Federally Qualified Health Center (FQHC) · Bolivar, MO

NPI number 1164897161 Active

Practice location

203 E. Broadway St.
Bolivar, MO 65613

Call (417) 328-6334 Map

Fax (417) 326-8111

Mailing address

PO Box 125
Hermitage, MO 65668-0125

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1164897161
Entity type: Organization (Type 2)
Issued: Dec 2, 2015
Last updated: May 29, 2024
Status: Active
Subpart: Yes of Ozarks Resource Group

Other names

<unavail>
Ozarks Community Health Center - Miles for Smiles · doing business as
Ozarks Community Health Center - Miles for Smiles · doing business as

Authorized official

Mr. Scott D Crouch
CEO
(417) 745-2121

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164897161

Ozarks Resource Group's National Provider Identifier is 1164897161, issued on Dec 2, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bolivar, MO. The record was last updated on May 29, 2024.