| Organization Name: | SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER |
| NPI Number: | 1164669172 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY BEECHNER-MCCARTHY (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1050 W 10th St Suite 480 Rolla |
| State: | MO US |
| Postal Code: | 654012905 |
| Phone Number: | 5734264455 |
| Fax Number: | 5734264454 |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 02/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |