| Ozarks Resource Group | |
|
406 S Dallas St Urbana MO 65767 | |
| (833) 789-5933 | |
| Not Available |
| Full Name | Ozarks Resource Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 406 S Dallas St, Urbana, Missouri |
| Authorized Official Name and Position | Kasie Benedict (CREDENTIALING AND COMPLIANCE) |
| Authorized Official Contact | 8337895933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Resource Group Po Box 125 Hermitage MO 65668-0125 Ph: () - | Ozarks Resource Group 406 S Dallas St Urbana MO 65767 Ph: (833) 789-5933 |
| NPI Number | 1659942027 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
| Medicare PECOS PAC ID | 6002068723 |
|---|---|
| Medicare Enrollment ID | O20211008001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659942027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ozarks Resource Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 N Main St, Urbana, MO 65767 Phone: 417-745-2121 Fax: 417-745-6141 | |
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 |