Healthcare Provider Details

I. General information

NPI: 1861357816
Provider Name (Legal Business Name): HIVE OF THE OZARKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E JACKSON ST STE 5E
WILLARD MO
65781-9444
US

IV. Provider business mailing address

304 E JACKSON ST STE 5E
WILLARD MO
65781-9444
US

V. Phone/Fax

Practice location:
  • Phone: 417-346-6890
  • Fax:
Mailing address:
  • Phone: 417-346-6890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MELISSA SKAGGS
Title or Position: DIRECTOR
Credential:
Phone: 417-346-6890