Organization · Type 2 NPI
Douglas County Public Health Services Group, Inc.
Federally Qualified Health Center (FQHC) · Mountain Grove, MO
NPI number
1518342153
Active
Practice location
1604 C. North Main Street
Mountain Grove, MO 65711
Fax (417) 926-1209
Mailing address
PO Box 1359
Ava, MO 65608-1359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
About NPI 1518342153
Douglas County Public Health Services Group, Inc.'s National Provider Identifier is 1518342153, issued on Jul 24, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mountain Grove, MO. The record was last updated on Sep 2, 2015.