South Central Missouri Community Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Saint Robert, MO
NPI 1083298640 · NPPES record last updated Nov 19, 2021
Key facts
- NPI
- 1083298640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
- Practice address
- 155 Park Dr
Saint Robert, MO 65584-7860 - Phone
- (573) 426-2407
- NPI assigned
- May 10, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Authorized official
- Name
- Elizabeth Sparks
- Title
- HR/Credentialing Specialist
- Phone
- (573) 426-2407
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- South Central Missouri Community Health Center
- Part of
- South Central Missouri Community Health Center
Locations
155 Park Dr
Saint Robert, MO 65584
Phone (573) 426-2407
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
155 Park Dr
Saint Robert, MO 65584-7860
Mailing address
1081 E 18TH St
Rolla, MO 65401-2448
Phone (573) 426-2407
Other providers in Saint Robert, MO
- Heather Simpson
- Karen Siu
- Alexia Lynn Smith
- Jesse Smith
- Lucinda Snyder
- South Central Missouri Community Health Center
- Squared Away Veterans Express (Save)
- St. Robert Chiropractic Center, Inc
- Catrina Jane Stark
- Tammy Renee Storie
All providers in Saint Robert, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.