DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (NPI# 1629639109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629639109 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. |
| Practice Address |
135 College Ave. Licking MO 65542 |
| Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
| Practice Telephone | 4176834831 |
| Mailing Telephone | 4176834831 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | JENNIFER HEINLEIN (COO) |
| Authorized Official Telephone | 4176834831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Missouri Ozarks Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612746 | Douglas County Public Health Services Group, Inc. | Family Medicine | 2001 Dys Dr, Cabool, MO 65689-9166 | 2019-04-23 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1710221130 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 904 Zimmerman Ave, Cabool, MO 65689-7365 | 2012-11-26 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1598762593 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 201 Elm St, Gainesville, MO 65655-9998 | 2005-07-05 |
| 1912904004 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2005-07-05 |
| 1912904145 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 504 Nw 10th Avenue, Ava, MO 65608-1359 | 2005-07-01 |
| 1942785399 | Douglas County Public Health Services Group, Inc. | Dentist | 504 West Broadway Ave., Ava, MO 65608-6560 | 2018-10-02 |
| 1326585761 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1340 S Sam Houston Blvd, Houston, MO 65483-2045 | 2017-01-24 |
| 1568774503 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2010-07-07 |
| Street Address |
135 COLLEGE AVE. |
| City | LICKING |
| State | MO |
| Zip Code | 65542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457597924 | Natalie Martha Jeffery | Registered Nurse | 135 College Ave., Licking, MO 65542-0000 | 2009-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766806 | Arlene J O'brien | Counselor | 15423 Mccloy Road, Licking, MO 65542 | 2013-05-08 |
| 1487171930 | Mercy Pharmacy Services, LLC | Pharmacy | 101 N Main St, Po Box 125, Licking, MO 65542 | 2017-08-25 |
| 1912424607 | Licking No 1 LLC | Skilled Nursing Facility | 209 Hickory St, Licking, MO 65542 | 2017-08-24 |
| 1295115236 | Douglas A Crase | Family Medicine | 233 S Main St, Licking, MO 65542 | 2015-06-04 |
| 1447412770 | Texas County Memorial Hospital | Clinic/Center | 233 South Main Street, Licking, MO 65542 | 2008-06-27 |
| 1336336205 | Russell Mahmudul Huq | Emergency Medicine | 233 S Main St, Licking, MO 65542 | 2007-09-25 |
| 1790978765 | St. John's Physician & Clinic | Pharmacist | 101 North Main Street, Licking, MO 65542 | 2007-08-23 |
| 1184600181 | Jeffrey Kenneth Blue | Physician Assistant | 233 S Main Street, Licking, MO 65542-0047 | 2005-12-21 |
| 1124437330 | Whitney J Hall | Physician Assistant | 233 S Main St, Licking, MO 65542-0047 | 2014-08-13 |
| 1316262280 | Joshua P Wolfe | Family Medicine | 233 S Main St, Licking, MO 65542-0047 | 2010-04-02 |
| Find all providers in zip 65542 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295115236 | Douglas A Crase | Family Medicine | 233 S Main St, Licking, MO 65542 | 2015-06-04 |
| 1316262280 | Joshua P Wolfe | Family Medicine | 233 S Main St, Licking, MO 65542-0047 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| 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.