DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.

MEDICARE: DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1326585761
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Provider Business Mailing Address
First Line : PO BOX 1359
Second Line :
City : AVA
State : MO
Zip : 65608-1359
Country : US
Telephone Number : 417-683-4831
Fax Number : 417-683-1602
Provider Business Practice Location Address
First Line : 1340 S SAM HOUSTON BLVD
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2045
Country : US
Telephone Number : 417-683-4831
Fax Number :
Authorized Official
Title or Position : COO
Name : JENNIFER HEINLEIN
Credential :
Telephone Number : 417-683-4831
Provider Enumeration Date : 01/24/2017
Last Update Date : 01/24/2017

Similar Medicare Providers

1568463925 — DAVID W DALE D.O.
Practice Location Address:
1340 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2045
Practice Phone: 417-967-3755
Practice Fax: 417-967-2630
1902892847 — GLEN C MARSEY LCSW
Practice Location Address:
1340 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2045
Practice Phone: 417-967-3755
Practice Fax: 417-967-2630
1245285139 — MRS. CHARLENE B FURR FNP
Practice Location Address:
1340 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2045
Practice Phone: 417-967-0772
Practice Fax: 417-683-6153
1528199494 — DAVID W DALE
Practice Location Address:
1340 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2045
Practice Phone: 417-967-3755
Practice Fax: 417-967-3630
1184899916 — DALE FAMILY MEDICINE
Practice Location Address:
1340 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2045
Practice Phone: 417-967-3755
Practice Fax: 417-967-2630
1801462551 — MELISSA DAWN CRAWFORD
Practice Location Address:
1340 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2045
Practice Phone: 417-967-0772
Practice Fax:

Directions to “DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.