COMMUNITY HEALTH CTR OF CENTRAL MISSOURI NPI 1790922920

NPI Information

COMMUNITY HEALTH CTR OF CENTRAL MISSOURI is a federally qualified health center (fqhc) clinic center in Jefferson City, MO. COMMUNITY HEALTH CTR OF CENTRAL MISSOURI NPI is 1790922920. The provider is registered as an organization entity type.

The provider's business location address is:

1905 STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109-961
Phone: (573) 632-2777
Fax: (573) 632-2769

The provider's authorized official is Toby Barnett .
The authorized official title is Chief Fin Officer and has the following contact phone number (573) 632-0243.

The CLIA number assigned to this NPI record is 26D2196660 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 3/10/2016.

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:

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