| South Central Missouri Community Health Center | |
|
246 College St Bourbon MO 65441-8308 | |
| (573) 426-2407 | |
| (573) 426-2407 |
| Full Name | South Central Missouri Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 246 College St, Bourbon, Missouri |
| Authorized Official Name and Position | Beth Sparks (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5734262407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Missouri Community Health Center Po Box 458 Rolla MO 65402-0458 Ph: (573) 426-2407 | South Central Missouri Community Health Center 246 College St Bourbon MO 65441-8308 Ph: (573) 426-2407 |
| NPI Number | 1063091247 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 11/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063091247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N. Old Highway 66, Bourbon, MO 65541 Phone: 573-679-2006 Fax: 573-679-2003 | |
Missouri Baptist Hospital Of Sullivan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 College St, Bourbon, MO 65441 Phone: 573-732-5004 | |
Mercy Clinic East Communities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 N Old Highway 66, Bourbon, MO 65441 Phone: 573-679-2006 | |
Missouri Baptist Hospital Of Sullivan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 College St, Bourbon, MO 65441 Phone: 573-732-5140 Fax: 314-996-3610 |