| Douglas County Public Health Services Group, Inc. | |
| 
					904 Zimmerman Ave Cabool MO 65689-7365  | |
| (417) 683-4831 | |
| Not Available | 
| Full Name | Douglas County Public Health Services Group, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 904 Zimmerman Ave, Cabool, Missouri | 
| Authorized Official Name and Position | Richard Sims (CEO) | 
| Authorized Official Contact | 4176834831 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Douglas County Public Health Services Group, Inc. Po Box 1359 Ava MO 65608-1359 Ph: (417) 683-4831  | Douglas County Public Health Services Group, Inc. 904 Zimmerman Ave Cabool MO 65689-7365 Ph: (417) 683-4831  | 
| NPI Number | 1710221130 | 
|---|---|
| Provider Enumeration Date | 11/26/2012 | 
| Last Update Date | 11/26/2012 | 
| Medicare PECOS PAC ID | 3072423052 | 
|---|---|
| Medicare Enrollment ID | O20140801000688 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710221130 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Barton Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Main St, Cabool, MO 65689 Phone: 417-839-3886 Fax: 417-962-4947  | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Main Street, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5938  | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Dys Dr, Cabool, MO 65689 Phone: 417-962-4344  | |
Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Main Street, Cabool, MO 65689 Phone: 417-962-3121 Fax: 417-962-5240  | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Main Street, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5938  | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Main Street, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5938  |