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
NPI | 1720789787 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER |
Provider Name | SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER |
Practice Address | 509 E 10th St Rolla MO 65401-3302 |
Practice Telephone | 5734262407 |
Practice Fax Number | 5734266723 |
Mailing Address | 1081 E 18th St Rolla MO 65401-2448 |
Mailing Telephone | 5734262407 |
Mailing Fax Number | 5734266723 |
Certification Date | 2023-03-13 |
Enumeration Date | 2023-03-15 |
Last Update Date | 2023-03-15 |
Is Organization Subpart | Y |
Parent Organization Legal Business Name | SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER |
Authorized Official Information
Official Name | ELIZABETH SPARKS |
Official Title | CREDENTIALING SPECIALIST |
Telephone | 5734262407 |
Taxonomy and Licenses
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 261QF0400X | Clinic/Center | Federally Qualified Health Center (FQHC) |
Providers with the same name
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
South Central Missouri Community Health Center | 155 Park Dr, Saint Robert, MO 65584-7860 | Federally Qualified Health Center (FQHC) | 2021-05-10 |
South Central Missouri Community Health Center · Your Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 | Dentist | 2016-10-14 |
South Central Missouri Community Health Center | 1060 S Bishop Ave, Rolla, MO 65401-4411 | Federally Qualified Health Center (FQHC) | 2024-07-26 |
South Central Missouri Community Health Center | 601 S Mcarthur St, Salem, MO 65560-2132 | Federally Qualified Health Center (FQHC) | 2021-09-13 |
South Central Missouri Community Health Center · Your Community Health Center | 701 Wolfpride Dr, Newburg, MO 65550-7824 | Family Medicine Physician | 2017-05-09 |
South Central Missouri Community Health Center · Four Rivers Pharmacy | 1081 E 18th St, Rolla, MO 65401-2448 | Community/Retail Pharmacy | 2024-02-09 |
South Central Missouri Community Health Center · Your Community Health Center | 414 W James Blvd, Saint James, MO 65559-1219 | Federally Qualified Health Center (FQHC) | 2020-04-28 |
South Central Missouri Community Health Center · Your Community Health Center | 200 N Main St, Suite 51g, Rolla, MO 65401-3061 | Family Medicine Physician | 2017-05-09 |
South Central Missouri Community Health Center · Your Community Health Center | 246 College St, Bourbon, MO 65441-8308 | Federally Qualified Health Center (FQHC) | 2021-04-06 |
South Central Missouri Community Health Center · Four Rivers Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 | Federally Qualified Health Center (FQHC) | 2009-01-13 |
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Taxonomy Information
Primary Taxonomy
Code | 261QF0400X |
Taxonomy | Federally Qualified Health Center (FQHC) |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come...
Providers with the same taxonomy
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Great Lakes Bay Health Centers | 218 Fast Ice Dr, Midland, MI 48642-6167 | Federally Qualified Health Center (FQHC) | 2024-08-26 |
Community Medical Centers Inc | 1150 S Cherokee Lane, Lodi, CA 95240 | Federally 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 92020-5714 | Federally Qualified Health Center (FQHC) | 2024-08-30 |
Mountain Comprehensive Care Center, Inc. | 341 Court St, Paintsville, KY 41240-1051 | Federally Qualified Health Center (FQHC) | 2024-08-29 |
Charity Health | 4075 Tweedy Blvd, South Gate, CA 90280-6146 | Federally Qualified Health Center (FQHC) | 2024-08-26 |
North Mississippi Primary Health Care, Inc. | 1705 Crescent Meadow Drive, Holly Springs, MS 38635 | Federally Qualified Health Center (FQHC) | 2024-08-30 |
Fort Bend Family Health Center, Inc. | 7707 Highway 6 Bldg B, Missouri City, TX 77459-4150 | Federally Qualified Health Center (FQHC) | 2024-09-03 |
Variety Care, Inc. | 613 N 4th St, Sayre, OK 73662 | Federally Qualified Health Center (FQHC) | 2024-09-05 |
Cumberland Family Medical Center Inc | 3154 Bardstown Rd Rm 105, Elizabethtown, KY 42701-7513 | Federally Qualified Health Center (FQHC) | 2024-08-28 |
Shawnee Mental Health Center Inc | 1611 27th St Ste 103, Portsmouth, OH 45662-6932 | Federally Qualified Health Center (FQHC) | 2024-09-05 |
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Location Information
Street Address | 509 E 10TH ST |
City | ROLLA |
State | MO |
Zip Code | 65401-3302 |
Country | US |
Providers in the same location
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
509 E 10th St, Rolla, MO 65401-3302 | Specialist | 2006-05-04 | |
Sarah Chinnery | 509 E 10th St, Rolla, MO 65401-3302 | Dentist | 2021-06-02 |
Blake Thomas Rost | 509 E 10th St, Rolla, MO 65401-3302 | Dentist | 2023-06-05 |
Sanchayita Tripathy | 509 E 10th St, Rolla, MO 65401-3302 | Allergy Physician | 2006-05-04 |
Allergy and Asthma Consultants of The Ozarks, Ltd | 509 E 10th St, Rolla, MO 65401-3302 | Specialist | 2009-06-16 |
Clinical Research of The Ozarks, Inc. | 509 E 10th St, Rolla, MO 65401-3302 | Research Clinic/Center | 2011-11-17 |
Providers in the same zip code
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Thomas Brent Bowen | 507 E 10th St, Rolla, MO 65401-3302 | Orthodontics and Dentofacial Orthopedic Dentist | 2006-07-24 |
Steven Dale Harrison | 507 E 10th St, Rolla, MO 65401-3302 | Orthodontics and Dentofacial Orthopedic Dentist | 2006-12-04 |
Providers in the same zip code
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Michael Wayne Malone | 800 North State Street, Rolla, MO 65401 | Dentist | 2008-10-31 |
Alpha Assisted Living LLC | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | Assisted Living Facility | 2016-10-26 |
First Step Foot and Ankle | 806 Hwy 72 E, Rolla, MO 65401 | Podiatric Clinic/Center | 2011-01-10 |
Shana Hintz Wisniewski | 1000 W. 10th St., Rolla, MO 65401 | Clinical Social Worker | 2017-08-04 |
Kenneth Ray Lyman | 1050 W. 10th Street, Suite 300, Rolla, MO 65401 | Family Nurse Practitioner | 2008-08-18 |
Christina Kessinger | 411 Us Hwy 72 E, Rolla, MO 65401 | Chiropractor | 2017-01-23 |
Hailey Kramer | 1032 B Kingshighway, Rollo, MO 65401 | Registered Nurse | 2009-03-25 |
Summer Adey | 13750 State Route F, Rolla, MO 65401 | Licensed Practical Nurse | 2014-08-14 |
Susan Peitz Gruener | 1800 White Column Road, Rolla, MO 65401 | Occupational Therapy Assistant | 2012-12-06 |
Julia Mae Fishbaugher | 306c N Bishop Ave, Rolla, MO 65401 | Hearing Instrument Specialist | 2014-07-14 |
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Similar Providers
Providers with similar names
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
North Central Missouri Mental Health Center | 1601 E 28th St, Trenton, MO 64683-1178 | Community/Behavioral Health Agency | 2023-12-07 |
Community Health Ctr of Central Missouri | 10135 State Road C, Mokane, MO 65059-1213 | Federally Qualified Health Center (FQHC) | 2024-05-02 |
North Central Missouri Mental Health Center | 1601 E 28th St, Trenton, MO 64683-1178 | Community/Behavioral Health Agency | 2007-02-28 |
Community Health Ctr of Central Missouri | 408 Dix Rd, Jefferson City, MO 65109-1455 | Dentist | 2016-07-06 |
Community Health Ctr of Central Missouri | 606 E Buchanan St, California, MO 65018-1910 | Federally Qualified Health Center (FQHC) | 2011-12-02 |
Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 | Community/Retail Pharmacy | 2023-02-28 |
University of Central Missouri Student Health Center | 600 S College Ave, Warrensburg, MO 64093-2621 | Family Medicine Physician | 2006-08-01 |
Community Health Ctr of Central Missouri | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | Federally Qualified Health Center (FQHC) | 2009-01-09 |
Central Missouri Vision Center · Central Missouri Eyecare Associates | 1445 Christy Dr Ste A, Jefferson City, MO 65101-2853 | Optometrist | 2006-09-20 |
Community Health Ctr of Central Missouri | 316 West Main Street, Linn, MO 65051 | Federally 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.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.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.