SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER; NPI #1558070102

Contact Information

SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

165 PARK DRIVE
SAINT ROBERT, MO 65584

Phone: 573-426-2407
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

NPI #	`1558070102`
LBN Legal business name	SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Authorized official	ELIZABETH SPARKS - (CREDENTIALING SPECIALIST)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/22/2022
Last updated	11/22/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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