South Central Missouri Community Health Center · 509 E 10th St, Rolla, MO 65401-3302 · Federally Qualified Health Center (FQHC) (2024)

Overview

South Central Missouri Community Health Center is a Federally Qualified Health Center (FQHC) (organization) practicing in Rolla, Missouri. The National Provider Identifier (NPI) is #1720789787, which was assigned on March 15, 2023,and the registration record was last updated on March 15, 2023. The practitioner's main practice location is at 509 E 10th St, Rolla, MO 65401-3302; the contact telephone number is 5734262407, and the fax number is 5734266723. The primary taxonomy of South Central Missouri Community Health Center is Federally Qualified Health Center (FQHC) (261QF0400X), with specialization in Federally Qualified Health Center (FQHC). The authorized official for South Central Missouri Community Health Center is Elizabeth Sparks (Credentialing Specialist).

Provider Information

NPI1720789787
Entity TypeOrganization
Organization NameSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Provider NameSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Practice Address509 E 10th St
Rolla
MO 65401-3302
Practice Telephone5734262407
Practice Fax Number5734266723
Mailing Address1081 E 18th St
Rolla
MO 65401-2448
Mailing Telephone5734262407
Mailing Fax Number5734266723
Certification Date2023-03-13
Enumeration Date2023-03-15
Last Update Date2023-03-15
Is Organization SubpartY
Parent Organization Legal Business NameSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

Authorized Official Information

Official NameELIZABETH SPARKS
Official TitleCREDENTIALING SPECIALIST
Telephone5734262407

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
South Central Missouri Community Health Center155 Park Dr, Saint Robert, MO 65584-7860Federally Qualified Health Center (FQHC)2021-05-10
South Central Missouri Community Health Center · Your Community Health Center1081 E 18th St, Rolla, MO 65401-2448Dentist2016-10-14
South Central Missouri Community Health Center1060 S Bishop Ave, Rolla, MO 65401-4411Federally Qualified Health Center (FQHC)2024-07-26
South Central Missouri Community Health Center601 S Mcarthur St, Salem, MO 65560-2132Federally Qualified Health Center (FQHC)2021-09-13
South Central Missouri Community Health Center · Your Community Health Center701 Wolfpride Dr, Newburg, MO 65550-7824Family Medicine Physician2017-05-09
South Central Missouri Community Health Center · Four Rivers Pharmacy1081 E 18th St, Rolla, MO 65401-2448Community/Retail Pharmacy2024-02-09
South Central Missouri Community Health Center · Your Community Health Center414 W James Blvd, Saint James, MO 65559-1219Federally Qualified Health Center (FQHC)2020-04-28
South Central Missouri Community Health Center · Your Community Health Center200 N Main St, Suite 51g, Rolla, MO 65401-3061Family Medicine Physician2017-05-09
South Central Missouri Community Health Center · Your Community Health Center246 College St, Bourbon, MO 65441-8308Federally Qualified Health Center (FQHC)2021-04-06
South Central Missouri Community Health Center · Four Rivers Community Health Center1081 E 18th St, Rolla, MO 65401-2448Federally Qualified Health Center (FQHC)2009-01-13
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Taxonomy Information

Primary Taxonomy

Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
ClassificationClinic/Center
SpecializationFederally Qualified Health Center (FQHC)
GroupingAmbulatory Health Care Facilities

Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Great Lakes Bay Health Centers218 Fast Ice Dr, Midland, MI 48642-6167Federally Qualified Health Center (FQHC)2024-08-26
Community Medical Centers Inc1150 S Cherokee Lane, Lodi, CA 95240Federally Qualified Health Center (FQHC)2024-08-29
Centro De Salud De La Comunidad De San Ysidro, Inc.875 El Cajon Blvd Fl 1, El Cajon, CA 92020-5714Federally Qualified Health Center (FQHC)2024-08-30
Mountain Comprehensive Care Center, Inc.341 Court St, Paintsville, KY 41240-1051Federally Qualified Health Center (FQHC)2024-08-29
Charity Health4075 Tweedy Blvd, South Gate, CA 90280-6146Federally Qualified Health Center (FQHC)2024-08-26
North Mississippi Primary Health Care, Inc.1705 Crescent Meadow Drive, Holly Springs, MS 38635Federally Qualified Health Center (FQHC)2024-08-30
Fort Bend Family Health Center, Inc.7707 Highway 6 Bldg B, Missouri City, TX 77459-4150Federally Qualified Health Center (FQHC)2024-09-03
Variety Care, Inc.613 N 4th St, Sayre, OK 73662Federally Qualified Health Center (FQHC)2024-09-05
Cumberland Family Medical Center Inc3154 Bardstown Rd Rm 105, Elizabethtown, KY 42701-7513Federally Qualified Health Center (FQHC)2024-08-28
Shawnee Mental Health Center Inc1611 27th St Ste 103, Portsmouth, OH 45662-6932Federally Qualified Health Center (FQHC)2024-09-05
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Location Information

Street Address509 E 10TH ST
CityROLLA
StateMO
Zip Code65401-3302
CountryUS

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
509 E 10th St, Rolla, MO 65401-3302Specialist2006-05-04
Sarah Chinnery509 E 10th St, Rolla, MO 65401-3302Dentist2021-06-02
Blake Thomas Rost509 E 10th St, Rolla, MO 65401-3302Dentist2023-06-05
Sanchayita Tripathy509 E 10th St, Rolla, MO 65401-3302Allergy Physician2006-05-04
Allergy and Asthma Consultants of The Ozarks, Ltd509 E 10th St, Rolla, MO 65401-3302Specialist2009-06-16
Clinical Research of The Ozarks, Inc.509 E 10th St, Rolla, MO 65401-3302Research Clinic/Center2011-11-17

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Thomas Brent Bowen507 E 10th St, Rolla, MO 65401-3302Orthodontics and Dentofacial Orthopedic Dentist2006-07-24
Steven Dale Harrison507 E 10th St, Rolla, MO 65401-3302Orthodontics and Dentofacial Orthopedic Dentist2006-12-04

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michael Wayne Malone800 North State Street, Rolla, MO 65401Dentist2008-10-31
Alpha Assisted Living LLC13450 Cr 7040, 803 E 12th St, Rolla, MO 65401Assisted Living Facility2016-10-26
First Step Foot and Ankle806 Hwy 72 E, Rolla, MO 65401Podiatric Clinic/Center2011-01-10
Shana Hintz Wisniewski1000 W. 10th St., Rolla, MO 65401Clinical Social Worker2017-08-04
Kenneth Ray Lyman1050 W. 10th Street, Suite 300, Rolla, MO 65401Family Nurse Practitioner2008-08-18
Christina Kessinger411 Us Hwy 72 E, Rolla, MO 65401Chiropractor2017-01-23
Hailey Kramer1032 B Kingshighway, Rollo, MO 65401Registered Nurse2009-03-25
Summer Adey13750 State Route F, Rolla, MO 65401Licensed Practical Nurse2014-08-14
Susan Peitz Gruener1800 White Column Road, Rolla, MO 65401Occupational Therapy Assistant2012-12-06
Julia Mae Fishbaugher306c N Bishop Ave, Rolla, MO 65401Hearing Instrument Specialist2014-07-14
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
North Central Missouri Mental Health Center1601 E 28th St, Trenton, MO 64683-1178Community/Behavioral Health Agency2023-12-07
Community Health Ctr of Central Missouri10135 State Road C, Mokane, MO 65059-1213Federally Qualified Health Center (FQHC)2024-05-02
North Central Missouri Mental Health Center1601 E 28th St, Trenton, MO 64683-1178Community/Behavioral Health Agency2007-02-28
Community Health Ctr of Central Missouri408 Dix Rd, Jefferson City, MO 65109-1455Dentist2016-07-06
Community Health Ctr of Central Missouri606 E Buchanan St, California, MO 65018-1910Federally Qualified Health Center (FQHC)2011-12-02
Community Health Ctr of Central Missouri1511 Christy Dr, Jefferson City, MO 65101-2854Community/Retail Pharmacy2023-02-28
University of Central Missouri Student Health Center600 S College Ave, Warrensburg, MO 64093-2621Family Medicine Physician2006-08-01
Community Health Ctr of Central Missouri1905 Stadium Blvd, Jefferson City, MO 65109-1961Federally Qualified Health Center (FQHC)2009-01-09
Central Missouri Vision Center · Central Missouri Eyecare Associates1445 Christy Dr Ste A, Jefferson City, MO 65101-2853Optometrist2006-09-20
Community Health Ctr of Central Missouri316 West Main Street, Linn, MO 65051Federally Qualified Health Center (FQHC)2007-01-22

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS).Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA).Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

SubjectTransparency and Disclosure
JurisdictionFederal
Data ProviderNational Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Sourcedownload.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS):NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

South Central Missouri Community Health Center · 509 E 10th St, Rolla, MO 65401-3302 · Federally Qualified Health Center (FQHC) (2024)

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