=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861357816
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HIVE OF THE OZARKS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2025
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 304 E JACKSON ST STE 5E
-----------------------------------------------------
City | WILLARD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65781-9444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 417-346-6890
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 304 E JACKSON ST STE 5E
-----------------------------------------------------
City | WILLARD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65781-9444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 417-346-6890
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MS. MELISSA SKAGGS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 417-346-6890
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------