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SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER NPI 1255867479


NPI Information

NPI: 1255867479
Provider Name: SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

Doing Business As: YOUR COMMUNITY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 N MAIN ST
SUITE 51G
ROLLA, MO
ZIP 65401
Phone: (573) 426-6712
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SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER is a family medicine in Rolla, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER NPI is 1255867479. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Your Community Health Center.

The provider's business location address is:

200 N MAIN ST
SUITE 51G
ROLLA, MO
ZIP 65401-061
Phone: (573) 426-6712
Fax: (573) 426-6735

The provider's authorized official is Kelly Miller .
The authorized official title is Ceo and has the following contact phone number (573) 426-6712.

The enumeration date for this NPI number is 5/9/2017 and was last updated on 5/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11164669172MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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