South Central Missouri Community Health Center | |
509 E 10th St Rolla MO 65401-3302 | |
(573) 426-2407 | |
(573) 426-6723 |
Full Name | South Central Missouri Community Health Center |
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Speciality | Clinic/Center |
Location | 509 E 10th St, Rolla, Missouri |
Authorized Official Name and Position | Elizabeth Sparks (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5734262407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Central Missouri Community Health Center 1081 E 18th St Rolla MO 65401-2448 Ph: (573) 426-2407 | South Central Missouri Community Health Center 509 E 10th St Rolla MO 65401-3302 Ph: (573) 426-2407 |
NPI Number | 1720789787 |
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Provider Enumeration Date | 03/15/2023 |
Last Update Date | 03/15/2023 |
Medicare PECOS PAC ID | 1355513581 |
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Medicare Enrollment ID | O20240812001159 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720789787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health Optimization Treatment, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W 11th St, Rolla, MO 65401 Phone: 314-279-4565 Fax: 309-326-4526 | |
Goodman Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 State Route Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300 | |
Phelps County Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Choudhrymd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W 6th St, Rolla, MO 65401 Phone: 573-202-3969 Fax: 573-341-8581 |