Provider Demographics
NPI:1366634859
Name:AIDS PROJECT OF THE OZARKS
Entity Type:Organization
Organization Name:AIDS PROJECT OF THE OZARKS
Other - Org Name:APO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TIFFANY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:417-881-1900
Mailing Address - Street 1:1636 SO. GLENSTONE, STE. 100
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1434
Mailing Address - Country:US
Mailing Address - Phone:417-881-1300
Mailing Address - Fax:
Practice Address - Street 1:1636 SO. GLENSTONE, STE. 100
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6580
Practice Address - Country:US
Practice Address - Phone:417-881-1300
Practice Address - Fax:417-881-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center