Douglas County Public Health Services Group, Inc.
NPI #1518342153 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1518342153
- Entity Type
- Organization
- Organization Name
- Douglas County Public Health Services Group, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 24, 2015
- Last Updated
- Sep 2, 2015
Practice Location
- Address
- 1604 C. NORTH MAIN STREET
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711
- Phone
- (417) 926-1713
Authorized Official
- Name
- TIM SHRYACK
- Title
- CEO
- Phone
- (417) 683-4831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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