Organization
COMMUNITY HEALTH CTR OF CENTRAL MISSOURI
Active
Organization
COMMUNITY HEALTH CTR OF CENTRAL MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBY BARNETT (CFO)
(573) 632-2777
Entity
Organization
Contact information
Practice address
3400 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5712
(573) 632-2777
(573) 632-2769
Mailing address
PO BOX 104780, JEFFERSON CITY, MO 65110-4870
(573) 632-0243
(573) 632-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-1018
MEDICARE
—
05
—
507340123
—
MO
Enumeration date
05/12/2008
Last updated
02/15/2018
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