| Ozarks Community Health Center | |
|
18614 Jackson Street Hermitage MO 65613-0125 | |
| (417) 745-2121 | |
| (417) 745-6141 |
| Full Name | Ozarks Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 18614 Jackson Street, Hermitage, Missouri |
| Authorized Official Name and Position | Scott D Crouch (CEO) |
| Authorized Official Contact | 4177452121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Community Health Center Po Box 125 Hermitage MO 65668-0125 Ph: (417) 745-2121 | Ozarks Community Health Center 18614 Jackson Street Hermitage MO 65613-0125 Ph: (417) 745-2121 |
| NPI Number | 1639421050 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 6002068723 |
|---|---|
| Medicare Enrollment ID | O20121204000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639421050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Hermitage Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 254 & Dallas, Hermitage, MO 65668 Phone: 417-745-2121 | |
Ozarks Community Health Center - Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18753 Spring Street, Hermitage, MO 65668 Phone: 417-745-2134 Fax: 417-745-2135 |