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Organization
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Active
Organization
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Active
Other names
Your Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MILLER (CEO)
(573) 426-6712
Entity
Organization
Contact information
Practice address
200 N MAIN ST, SUITE 51G, ROLLA, MO 65401-3061
(573) 426-6712
(573) 426-6735
Mailing address
200 N MAIN ST, SUITE 51G, ROLLA, MO 65401-3061
(573) 426-6712
(573) 426-6735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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