| Ozarks Community Health Center - Miles For Smiles | |
|
203 E. Broadway St. Bolivar MO 65613 | |
| (417) 328-6334 | |
| (417) 326-8111 |
| Full Name | Ozarks Community Health Center - Miles For Smiles |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 E. Broadway St., Bolivar, 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 - Miles For Smiles Po Box 125 Hermitage MO 65668-0125 Ph: (417) 745-2121 | Ozarks Community Health Center - Miles For Smiles 203 E. Broadway St. Bolivar MO 65613 Ph: (417) 328-6334 |
| NPI Number | 1164897161 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 6002068723 |
|---|---|
| Medicare Enrollment ID | O20160106000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164897161 | NPI | - | NPPES |
| 1639421050 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bolivar Family Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Bolivar Family Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Bolivar Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Doctors Testing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-2654 Fax: 417-326-2654 | |
Bolivar Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-4000 Fax: 417-326-6400 | |
Carl L. Blomenkamp,d.c.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2853 W Broadway St, Bolivar, MO 65613 Phone: 417-326-3888 |