MISSOURI OZARKS COMMUNITY HEALTH
NPI 1518342153
Clinic/Center - Federally Qualified Health Center (FQHC) in Mountain Grove, MO

Active since July 24, 2015CLIA 26D2099962 · Microscopy
1604 C. NORTH MAIN STREET, MOUNTAIN GROVE, MO 65711(417) 926-1713(417) 926-1209 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Missouri Ozarks Community Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI OZARKS COMMUNITY HEALTH (NPI 1518342153) is a healthcare organization registered as a federally qualified health center (fqhc) in Mountain Grove, Missouri and active in the NPI registry since July 2015. The organization holds a CLIA Microscopy certificate valid through September 30, 2027 and lists Tim Shryack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518342153
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Location Address1604 C. NORTH MAIN STREETMountain Grove, MO 65711
Mailing AddressPo Box 1359Ava, MO 65608-1359 · (417) 683-4831
Fax(417) 926-1209
Organization SubpartNo
Authorized OfficialTim ShryackCeo · (417) 683-4831
Enumeration DateJuly 24, 2015
Last NPPES UpdateSeptember 2, 2015
✔ NPI 1518342153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1604 C. NORTH MAIN STREET, Mountain Grove, MO 65711

Other Names 1

Doing Business AsMissouri Ozarks Community Health

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Missouri Ozarks Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Missouri Ozarks Community Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner18
Family Practice4
Mental Health Counselor3
Clinical Social Worker2
Clinical Psychologist1
General Practice1
Obstetrics/Gynecology1
Pediatric Medicine1
1 other specialty1

Nearest to this location (20)

See all 32
Mental Health Counselor
NPI 1194927087
1604 C. N. MAIN STREET
Mountain Grove, MO 65711
(417) 683-5739
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710559018
1604 C. NORTH MAIN ST
Mountain Grove, MO 65704
(417) 926-1713
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245009182
120 W 16TH ST
Mountain Grove, MO 65711
(417) 926-6111
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1033245758
804 N HIGHWAY 5
Mansfield, MO 65704
(417) 924-8809
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1295414464
804 N HIGHWAY 5
Mansfield, MO 65704
(417) 924-8809
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1417350380
804 N HIGHWAY 5
Mansfield, MO 65704
(417) 924-8809
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1245285139
1340 S SAM HOUSTON BLVD
Houston, MO 65483
(417) 967-0772
✔ PECOS21 mi
Nurse Practitioner
NPI 1699608547
1340 S SAM HOUSTON BLVD
Houston, MO 65483
(417) 967-0772
✔ PECOS21 mi
Nurse Practitioner
NPI 1801462551
1340 S SAM HOUSTON BLVD
Houston, MO 65483
(417) 967-0772
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1750301784
603 SOUTH JEFFERSON STREET
Ava, MO 65608
(417) 683-3398
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1700986270
504 W. BROADWAY AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS26 mi
Nurse Practitioner
NPI 1093513087
504 W BROADWAY AVE
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
Clinical Social Worker
NPI 1083223101
504 W. BROADWAY AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
Mental Health Counselor
NPI 1558806844
504 W. BROADWAY AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1700980174
504 NW 10TH AVE.
Ava, MO 65608
(417) 683-4831
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1487210969
504 NW 10TH AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
General Practice
NPI 1649332545
504 NW 10TH AVE
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
Mental Health Counselor
NPI 1891076089
3411 DIVISION DR
West Plains, MO 65775
(417) 257-9152
✔ PECOS32 mi
Pediatric Medicine
NPI 1629120506
1195 N OAKLAND AVE SUITE 2
Bolivar, MO 65613
(417) 777-2121
✔ PECOS71 mi
Obstetrics/Gynecology
NPI 1407835085
3870 COLUMBIA AVE
Osage Beach, MO 65065
(573) 302-7490
✔ PECOS✔ Accepts Medicare72 mi
See all 32 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D2099962

Missouri Ozarks Community Health · Mountain Grove, MO
Active · expires Sep 30, 2027
CLIA Number26D2099962
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorConnie Armstrong
Laboratory Phone(417) 926-1713
Laboratory LocationMissouri Ozarks Community Health1604 C North Main Street, Mountain Grove, MO 65711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas County Public Health Services Group, Inc.'s NPI number?

The NPI number for Douglas County Public Health Services Group, Inc. is 1518342153. It was assigned to this organization in the NPPES registry on July 24, 2015. The provider is doing business as Missouri Ozarks Community Health.

Where is Douglas County Public Health Services Group, Inc. located?

Douglas County Public Health Services Group, Inc. is located at 1604 C. North Main Street, Mountain Grove, MO 65711. The listed phone number is (417) 926-1713.

What is Douglas County Public Health Services Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Douglas County Public Health Services Group, Inc. enrolled in Medicare?

Yes. Douglas County Public Health Services Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas County Public Health Services Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 9 Medicare specialties reassign their Medicare billing to Douglas County Public Health Services Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Family Practice (4) and Mental Health Counselor (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Douglas County Public Health Services Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D2099962) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Douglas County Public Health Services Group, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Douglas County Public Health Services Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas County Public Health Services Group, Inc. was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.