| Ozarks Community Health Center | |
|
111 N Main St Urbana MO 65767-9152 | |
| (417) 745-2121 | |
| (417) 745-6141 |
| Full Name | Ozarks Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 N Main St, Urbana, Missouri |
| Authorized Official Name and Position | Scott 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 102 E Jackson St Po Box 125 Hermitage MO 65668-9231 Ph: (417) 745-2121 | Ozarks Community Health Center 111 N Main St Urbana MO 65767-9152 Ph: (417) 745-2121 |
| NPI Number | 1487024667 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 10/01/2015 |
| Medicare PECOS PAC ID | 6002068723 |
|---|---|
| Medicare Enrollment ID | O20151102002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487024667 | NPI | - | NPPES |
| 1639421050 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Urbana Medical Clinic, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Broadway St, Urbana, MO 65767 Phone: 417-993-1999 Fax: 417-993-1806 | |
Ozarks Resource Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 S Dallas St, Urbana, MO 65767 Phone: 833-789-5933 |