| Your Community Health Center | |
|
200 N Main St Suite 51g Rolla MO 65401-3061 | |
| (573) 426-6712 | |
| (573) 426-6735 |
| Full Name | Your Community Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 200 N Main St, Rolla, Missouri |
| Authorized Official Name and Position | Kelly Miller (CEO) |
| Authorized Official Contact | 5734266712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Community Health Center 200 N Main St Suite 51g Rolla MO 65401-3061 Ph: (573) 426-6712 | Your Community Health Center 200 N Main St Suite 51g Rolla MO 65401-3061 Ph: (573) 426-6712 |
| NPI Number | 1255867479 |
|---|---|
| Provider Enumeration Date | 05/09/2017 |
| Last Update Date | 05/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255867479 | NPI | - | NPPES |
| 1164669172 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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