OZARKS RESOURCE GROUP (NPI# 1639421050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639421050 |
| Entity Type | Organization |
| Organization Name | OZARKS RESOURCE GROUP |
| Other Organization Name | OZARKS COMMUNITY HEALTH CENTER |
| Practice Address |
18614 Jackson Street Hermitage MO 65613-0125 |
| Mailing Address |
Po Box 125 Hermitage MO 65668-0125 |
| Practice Telephone | 4177452121 |
| Practice Fax Number | 4177456141 |
| Mailing Telephone | 4177452121 |
| Mailing Fax Number | 4177450056 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | MR. SCOTT D CROUCH (CEO) |
| Authorized Official Telephone | 4177452121 |
| Is Organization Subpart | Y |
| Parent Organization Name | OZARKS RESOURCE GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ozarks Community Health Center | 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 |
| 1326453408 | Ozarks Resource Group | Clinic/Center | 18753 Spring Street, Hermitage, MO 65668-0125 | 2014-06-26 |
| 1487024667 | Ozarks Resource Group | Clinic/Center | 111 N Main St, Urbana, MO 65767-9152 | 2015-10-01 |
| Street Address |
18614 JACKSON STREET |
| City | HERMITAGE |
| State | MO |
| Zip Code | 65613-0125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619848 | Angela Kay Greer | Social Worker | 18614 Jackson Street, Hermitage, MO 65668-0125 | 2019-09-27 |
| 1801352752 | Patricia A Drennon | Nurse Practitioner | 18614 Jackson Street, Hermitage, MO 65668 | 2019-02-15 |
| 1164998936 | Scott Alan Mackey | Social Worker | 18614 Jackson Street, Hermitage, MO 65668-0125 | 2018-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| 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 |
|---|---|---|---|---|
| 1326453408 | Ozarks Resource Group | Clinic/Center | 18753 Spring Street, Hermitage, MO 65668-0125 | 2014-06-26 |
| 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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|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| 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.