| South Central Missouri Community Health Center | |
|
509 E 10th St Rolla MO 65401-3302 | |
| (573) 426-2407 | |
| (573) 426-6723 |
| Full Name | South Central Missouri Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 509 E 10th St, Rolla, Missouri |
| Authorized Official Name and Position | Elizabeth Sparks (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5734262407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Missouri Community Health Center 1081 E 18th St Rolla MO 65401-2448 Ph: (573) 426-2407 | South Central Missouri Community Health Center 509 E 10th St Rolla MO 65401-3302 Ph: (573) 426-2407 |
| NPI Number | 1720789787 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 1355513581 |
|---|---|
| Medicare Enrollment ID | O20240812001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720789787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
Pcrmc Medical Group, Inc 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 | |
South Central Missouri Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-2407 | |
Miracl, Llc 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 | |
South Central Missouri 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 |