IMPACT LIFELINE is a rural health clinic center in Rolla, MO. IMPACT LIFELINE NPI is 1467257576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
205 W 11TH ST ROLLA, MO ZIP 65401-804 Phone: (314) 279-4565 Fax: (309) 326-4526
The provider's authorized official is Alisha Michelle Jones . The authorized official title is Executive Administrator and has the following contact phone number (314) 279-4565.
The enumeration date for this NPI number is 2/14/2025 and was last updated on 2/19/2025.
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:
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: 11/21/2025
NPI Synchronization or Removal
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