Four Rivers Community Health Center | |
1081 E 18th St Rolla MO 65401-2448 | |
(573) 426-2407 | |
Not Available |
Full Name | Four Rivers Community Health Center |
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Speciality | Clinic/Center |
Location | 1081 E 18th St, Rolla, Missouri |
Authorized Official Name and Position | Elizabeth Sparks (HR MANAGER) |
Authorized Official Contact | 5734262407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Four Rivers Community Health Center 1081 E 18th St Rolla MO 65401-2448 Ph: (573) 426-2407 | Four Rivers Community Health Center 1081 E 18th St Rolla MO 65401-2448 Ph: (573) 426-2407 |
NPI Number | 1164669172 |
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Provider Enumeration Date | 01/13/2009 |
Last Update Date | 02/06/2023 |
Medicare PECOS PAC ID | 1355513581 |
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Medicare Enrollment ID | O20111013000097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164669172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Debra A Mccaul |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376692939 PECOS PAC ID: 1153300033 Enrollment ID: I20040714001610 |
Provider Name | Tony Lam |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093742314 PECOS PAC ID: 4284603176 Enrollment ID: I20040928000486 |
Provider Name | Kimberly D Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396717104 PECOS PAC ID: 9032186036 Enrollment ID: I20060818000019 |
Provider Name | Sonja Williams |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609836857 PECOS PAC ID: 3870590946 Enrollment ID: I20061102000305 |
Provider Name | Yvonne M Prince |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538150222 PECOS PAC ID: 7618012055 Enrollment ID: I20100309000891 |
Provider Name | Patrick Sporleder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922099506 PECOS PAC ID: 6406992445 Enrollment ID: I20101011000658 |
Provider Name | Elaine Briggs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700105673 PECOS PAC ID: 1456545326 Enrollment ID: I20101104000750 |
Provider Name | Michaela Muehlbach |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083921381 PECOS PAC ID: 3971741836 Enrollment ID: I20130604000879 |
Provider Name | Katie E Cameron |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942511753 PECOS PAC ID: 5597993410 Enrollment ID: I20140122000706 |
Provider Name | Nancy S Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558347666 PECOS PAC ID: 0648588988 Enrollment ID: I20151006001164 |
Provider Name | Sean L Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356696942 PECOS PAC ID: 9739302357 Enrollment ID: I20161018000801 |
Provider Name | Matthew T Porter |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477791606 PECOS PAC ID: 4880827252 Enrollment ID: I20161018002934 |
Provider Name | Mandi Nicole Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760966188 PECOS PAC ID: 9638413925 Enrollment ID: I20181127001566 |
Provider Name | Barbara A Appleman Graham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922566777 PECOS PAC ID: 9032451018 Enrollment ID: I20190423000222 |
Provider Name | Johnnie W Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073051942 PECOS PAC ID: 5597710699 Enrollment ID: I20190509002556 |
Provider Name | Gillian C Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750897229 PECOS PAC ID: 6204250269 Enrollment ID: I20200723000605 |
Provider Name | Amanda Stites |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508510298 PECOS PAC ID: 0042605115 Enrollment ID: I20220328002087 |
Provider Name | Elizabeth A Bland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306568738 PECOS PAC ID: 8729455894 Enrollment ID: I20221102000344 |
Goodman Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 State Route Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300 | |
Phelps Health Medical Group Rolla Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-458-3952 | |
Phelps County Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Radiology - Rolla Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 | |
Choudhrymd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W 6th St, Rolla, MO 65401 Phone: 573-202-3969 Fax: 573-341-8581 | |
Your Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Main St, Suite 51g, Rolla, MO 65401 Phone: 573-426-6712 Fax: 573-426-6735 |