# SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Rivers Pharmacy Salem, Four Rivers Community Health Center Pharmacy Salem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902763386
- **Authorized official:** MICHELLE SEIBERT (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (573) 426-4455

## Contact information

- **Practice address:** 703 S GRAND AVE, SALEM, MO 65560
- **Practice address phone:** (573) 426-4455
- **Mailing address:** 703 S GRAND AVE, SALEM, MO 65560
- **Mailing address phone:** (573) 426-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 01/13/2026