Organization
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Active
Other names
Your Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BEECHNERMCCARTHY (CEO)
(573) 458-8644
Entity
Organization
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 458-8644
(573) 426-2263
Mailing address
1081 E 18TH ST, PO BOX 458, ROLLA, MO 65401-2448
(573) 458-8644
(573) 426-2263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164669172
—
MO
Enumeration date
10/14/2016
Last updated
10/14/2016
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