South Central Missouri Community Health Center | |
155 Park Dr Saint Robert MO 65584-7860 | |
(573) 426-2407 | |
Not Available |
Full Name | South Central Missouri Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 155 Park Dr, Saint Robert, Missouri |
Authorized Official Name and Position | Elizabeth Sparks (HR/CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5734262407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 155 Park Dr Saint Robert MO 65584-7860 Ph: (573) 426-2407 |
NPI Number | 1083298640 |
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Provider Enumeration Date | 05/10/2021 |
Last Update Date | 11/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083298640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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