OZARKS RESOURCE GROUP (NPI# 1326453408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326453408 |
Entity Type | Organization |
Organization Name | OZARKS RESOURCE GROUP |
Other Organization Name | OZARKS COMMUNITY HEALTH CENTER - DENTAL |
Practice Address |
18753 Spring Street Hermitage MO 65668-0125 |
Mailing Address |
Po Box 125 Hermitage MO 65668-0125 |
Practice Telephone | 4177452134 |
Practice Fax Number | 4177452135 |
Mailing Telephone | 4177452121 |
Mailing Fax Number | 4177450056 |
Enumeration Date | 2014-06-26 |
Last Update Date | 2019-02-21 |
Authorized Official Name | MR. SCOTT D CROUCH (CEO) |
Authorized Official Telephone | 4177452121 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1235562836 | 05 |
Other Name | Type Code |
---|---|
Ozarks Community Health Center | Doing Business As Name - Organization |
Ozarks Community Health Center - Dental | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033765045 | Ozarks Resource Group | Dentist | 413 W. Water St., Greenfield, MO 65661-1353 | 2019-08-15 |
1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
1639421050 | Ozarks Resource Group | Clinic/Center | 18614 Jackson Street, Hermitage, MO 65613-0125 | 2012-10-09 |
1487024667 | Ozarks Resource Group | Clinic/Center | 111 N Main St, Urbana, MO 65767-9152 | 2015-10-01 |
Street Address |
18753 SPRING STREET |
City | HERMITAGE |
State | MO |
Zip Code | 65668-0125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235536301 | N & R of Hermitage LLC | Skilled Nursing Facility | Hwy 54 and 1st St., Hermitage, MO 65668 | 2014-12-04 |
1184056087 | Annette Diane Mozier | Nurse Practitioner | 102 Jackson, Hermitage, MO 65668 | 2013-08-01 |
1720160153 | Christian Health Care of Hermitage, Inc. | Skilled Nursing Facility | Hwy 54 and 1st St, Hermitage, MO 65668 | 2006-10-19 |
1851402010 | Gordon Reed Wouters | Family Medicine | Hwy 254 & Dallas St., Hermitage, MO 65668 | 2006-08-31 |
1942319728 | Katherine M. Rains | Nurse Practitioner | 18614 Jackson St, Hermitage, MO 65668 | 2006-08-29 |
1801352752 | Patricia A Drennon | Nurse Practitioner | 18614 Jackson Street, Hermitage, MO 65668 | 2019-02-15 |
1750416251 | Hickory County Health Department | Public Health or Welfare | 201 Cedar St, Hermitage, MO 65668 | 2007-02-23 |
1558430405 | James C Fusco | Dentist | 303 Spring St, Hermitage, MO 65668 | 2006-11-07 |
1275707135 | James C. Fusco, D.d.s., P.C. | Dentist | 303 Spring St, Hermitage, MO 65668-0105 | 2008-04-22 |
1235562836 | Amy M Greenspan | Dentist | 303 Spring St., Hermitage, MO 65668-0125 | 2013-08-19 |
Find all providers in zip 65668 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972702645 | Primary Health Network | Clinic/Center | 220 N Buhl Farm Dr, Buhl Farm Community Health Center, Hermitage, PA 16148-1786 | 2007-07-13 |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.