Organization
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Active
Parent organization
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Authorized official
ELIZABETH SPARKS (CREDENTIALING SPECIALIST)
(573) 426-2407
Entity
Organization
Contact information
Practice address
165 PARK DRIVE, ST. ROBERT, MO 65584
(573) 426-2407
Mailing address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-2407
(573) 426-6723
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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