| Your Community Health Center | |
|
1081 E 18th St Rolla MO 65401-2448 | |
| (573) 458-8644 | |
| (573) 426-2263 |
| Full Name | Your Community Health Center |
|---|---|
| Speciality | Dentist |
| Location | 1081 E 18th St, Rolla, Missouri |
| Authorized Official Name and Position | Amy Beechnermccarthy (CEO) |
| Authorized Official Contact | 5734588644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Community Health Center 1081 E 18th St Po Box 458 Rolla MO 65401-2448 Ph: (573) 458-8644 | Your Community Health Center 1081 E 18th St Rolla MO 65401-2448 Ph: (573) 458-8644 |
| NPI Number | 1700337771 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700337771 | NPI | - | NPPES |
| 1164669172 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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