| Douglas County Public Health Services Group, Inc. | |
| 
					201 Elm St Gainesville MO 65655-9998  | |
| (417) 679-2775 | |
| (417) 679-2633 | 
| Full Name | Douglas County Public Health Services Group, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 201 Elm St, Gainesville, Missouri | 
| Authorized Official Name and Position | Richard R 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 216 Gainesville MO 65655-0216 Ph: (417) 679-2775  | Douglas County Public Health Services Group, Inc. 201 Elm St Gainesville MO 65655-9998 Ph: (417) 679-2775  | 
| NPI Number | 1598762593 | 
|---|---|
| Provider Enumeration Date | 07/05/2005 | 
| Last Update Date | 01/09/2008 | 
| Medicare PECOS PAC ID | 3072423052 | 
|---|---|
| Medicare Enrollment ID | O20030630000021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598762593 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Ozarks Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37 Medical Drive, Gainesville, MO 65655 Phone: 417-679-4613 Fax: 417-679-2211  | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S. Elm Street, Gainesville, MO 65655 Phone: 417-679-2775 Fax: 417-679-2633  | |
Firstcall Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98 1st St, Gainesville, MO 65655 Phone: 870-710-0927  |