Change Academy Lake Ozark

LBN: Change Academy Lake Ozark
Change Academy Lake Ozark is an health care organization with primary practice located at 130 Calo Ln , Lake Ozark MO 65049-9208. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Clinic/Center, Managed Care Organizations / Preferred Provider Organization. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Change Academy Lake Ozark can be contacted via phone (573) 365-2221, or through Hagemann, Denise via phone (573) 552-8007.

Contact Information

Primary practice address
130 Calo Ln Lake Ozark MO 65049-9208
Phone: (573) 365-2221
Fax: (573) 365-2224
Website:
Map and Directions
Authorized official contact:
Name: Hagemann, Denise
Phone: (573) 552-8007

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 016604 Missouri
Agencies / Early Intervention Provider Agency 252Y00000X 016604 Missouri
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 016604 Missouri
Managed Care Organizations / Preferred Provider Organization 305R00000X 016604 Missouri

Profile Details

NPI number 1528469772
LBN Legal business name Change Academy Lake Ozark
DBA Doing business as
Authorized official Hagemann, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2014
Last updated May 22nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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