NPIMap

South Central Missouri Community Health Center

A Medicare group practice based in Rolla, MO: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 1355513581), with 27 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355513581The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
MO
Enrollments
8
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 4 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20111013000097 MO Part B Supplier - Clinic/Group Practice 1164669172
O20140505001869 MO Part A Provider - Federally Qualified Health Center (FQHC) 1164669172
O20211228000284 MO Part A Provider - Federally Qualified Health Center (FQHC) 1538838560
O20230228001666 MO Part A Provider - Federally Qualified Health Center (FQHC) 1558070102
O20240812001159 MO Part A Provider - Federally Qualified Health Center (FQHC) 1720789787
O20251006000845 MO Part A Provider - Federally Qualified Health Center (FQHC) 1629875141
O20250918001895 MO Part B Supplier - Pharmacy 1245094226
O20241029003270 MO Part A Provider - Federally Qualified Health Center (FQHC) 1346079613

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 27

Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (13).

Sources for this page