Provider Demographics
NPI:1881093979
Name:OZARKS AREA COMMUNITY ACTION CORPORATION
Entity type:Organization
Organization Name:OZARKS AREA COMMUNITY ACTION CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENKRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-862-4314
Mailing Address - Street 1:215 S BARNES AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-2204
Mailing Address - Country:US
Mailing Address - Phone:417-862-4314
Mailing Address - Fax:417-864-3416
Practice Address - Street 1:215 S BARNES AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-2204
Practice Address - Country:US
Practice Address - Phone:417-862-4314
Practice Address - Fax:417-864-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO087373363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty