| Community Health Ctr Of Central Missouri | |
|
1905 Stadium Blvd Jefferson City MO 65109-1961 | |
| (573) 632-2777 | |
| (573) 632-2769 |
| Full Name | Community Health Ctr Of Central Missouri |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1905 Stadium Blvd, Jefferson City, Missouri |
| Authorized Official Name and Position | Toby Barnett (CHIEF FIN OFFICER) |
| Authorized Official Contact | 5736320243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Ctr Of Central Missouri Po Box 104780 Jefferson City MO 65110-4780 Ph: (573) 632-0243 | Community Health Ctr Of Central Missouri 1905 Stadium Blvd Jefferson City MO 65109-1961 Ph: (573) 632-2777 |
| NPI Number | 1790922920 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790922920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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