SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER – NPI #1558070102
Clinic/Center

SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER is an AHC clinic located in SAINT ROBERT, MO. NPPES has assigned the NPI number 1558070102 to SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER on November 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER below.

NPI Profile for
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

NPI Number
1558070102
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Primary location
165 PARK DRIVE
SAINT ROBERT, MO 65584
Phone: (573) 426-2407 Fax:
Mailing address
1081 E 18TH ST
ROLLA, MO 65401-2448
Phone: (573) 426-2407 Fax: (573) 426-6723
Organization Subpart
Yes - SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER is subpart of another organization.
Authorized Official
ELIZABETH SPARKS
CREDENTIALING SPECIALIST
Phone: (573) 426-2407
Updated
Certification Date
Nov 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.