| Impact Lifeline | |
|
205 W 11th St Rolla MO 65401-2804 | |
| (314) 279-4565 | |
| (309) 326-4526 |
| Full Name | Impact Lifeline |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 205 W 11th St, Rolla, Missouri |
| Authorized Official Name and Position | Alisha Michelle Jones (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 3142794565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Lifeline 8 Laurelwood Ct Saint Louis MO 63146-4940 Ph: (314) 279-4565 | Impact Lifeline 205 W 11th St Rolla MO 65401-2804 Ph: (314) 279-4565 |
| NPI Number | 1467257576 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467257576 | NPI | - | NPPES |
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 |
Four Rivers Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-2407 |
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 |