Organization · Type 2 NPI
Douglas County Public Health Services Group, Inc.
Federally Qualified Health Center (FQHC) · Ava, MO
NPI number
1871797597
Active
Practice location
504 NW 10th Ave
Ava, MO 65608
Fax (417) 683-1602
Mailing address
PO Box 1359
Ava, MO 65608-1359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 2007014535 (MO) |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Brian Thomas Lenihan, PA-CPhysician Assistant Ava, MO NPI 1508896325
- Jerriann Coxson, CFNPNurse Practitioner Ava, MO NPI 1386619252
- Kathy L. Domiano, FNPPrimary Care Nurse Practitioner Ava, MO NPI 1265627970
- Sybil Ann Fortner, DDSGeneral Practice Dentistry Ava, MO NPI 1568665883
- Teresa Lynn Sherard, MDGeneral Practice Physician Ava, MO NPI 1649332545
Other federally qualified health center (fqhc) providers in Ava
About NPI 1871797597
Douglas County Public Health Services Group, Inc.'s National Provider Identifier is 1871797597, issued on Jun 14, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ava, MO. The record was last updated on Jul 13, 2007.