Organization · Type 2 NPI

Douglas County Public Health Services Group, Inc.

Federally Qualified Health Center (FQHC) · Ava, MO

NPI number 1912904145 Active

Practice location

504 NW 10th Avenue
Ava, MO 65608-1359

Fax (417) 683-1602

Mailing address

PO Box 1359, 504 NW 10th Ave
Ava, MO 65608-1359

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1912904145

Douglas County Public Health Services Group, Inc.'s National Provider Identifier is 1912904145, issued on Jul 1, 2005. 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 Jan 9, 2008.