South Central Missouri Community Health Center | |
601 S Mcarthur St Salem MO 65560-2132 | |
(573) 426-2407 | |
(573) 426-6723 |
Full Name | South Central Missouri Community Health Center |
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Speciality | Clinic/Center |
Location | 601 S Mcarthur St, Salem, 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 601 S Mcarthur St Salem MO 65560-2132 Ph: (573) 426-2407 |
NPI Number | 1538838560 |
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Provider Enumeration Date | 09/13/2021 |
Last Update Date | 11/19/2021 |
Medicare PECOS PAC ID | 1355513581 |
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Medicare Enrollment ID | O20211228000284 |
Identifier | Type | State | Issuer |
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1538838560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Charles W Cunningham Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Hwy 32 East, Salem, MO 65560 Phone: 573-729-5533 Fax: 573-729-7754 | |