South Central Missouri Community Health Center
NPI #1558070102 in St. Robert, Missouri
Provider Information
- NPI Number
- 1558070102
- Entity Type
- Organization
- Organization Name
- South Central Missouri Community Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 22, 2022
- Last Updated
- Nov 22, 2022
Practice Location
- Address
- 165 PARK DRIVE
- City
- St. Robert
- State
- Missouri
- ZIP Code
- 65584
- Phone
- (573) 426-2407
Authorized Official
- Name
- ELIZABETH SPARKS
- Title
- CREDENTIALING SPECIALIST
- Phone
- (573) 426-2407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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