Missouri Ozarks Community Health – Federally Qualified Health Center (FQHC), NPI 1912904004

Missouri Ozarks Community Health is a healthcare provider. based in Mansfield, Missouri. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Missouri Ozarks Community Health is 1912904004

Main info

Organization
Name
Missouri Ozarks Community Health
NPI
1912904004
Phone
(417) 924-8809
Address
PO BOX 257
Authorized Official
MR. RICHARD R SIMS CEO
Enumeration Date
5 July 2005
Last Update Date
9 January 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Missouri Ozarks Community Health

  • PO BOX 257

    MANSFIELD, MO 657040257

    Phone: (417) 924-8809

    Fax: (417) 924-8870

    Type: Mailing

  • Mansfield, Rosemary Street, Mansfield, Nottinghamshire, East Midlands, England, NG18 1LL, United Kingdom

    MANSFIELD, MO 657047301

    Phone: (417) 924-8809

    Fax: (417) 924-8870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100920000560OFederally Qualified Health Center (Fqhc)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65704)

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Reviews

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Frequently asked questions

Does Missouri Ozarks Community Health share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Missouri Ozarks Community Health uses 1912904004.
Is Missouri Ozarks Community Health listed as active for patients and plans?
The listing shows Missouri Ozarks Community Health as active in the NPI system.
What taxonomy line describes Missouri Ozarks Community Health?
For research purposes, treat Missouri Ozarks Community Health as Federally Qualified Health Center (FQHC) in this dataset. Clinical services aligned with this taxonomy classification.
What area does Missouri Ozarks Community Health serve?
Missouri Ozarks Community Health's listing highlights Mansfield, Missouri; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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