COMMUNITY HEALTH CTR OF CENTRAL MISSOURI (NPI# 1538213244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538213244 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Practice Address |
1016 E. Main St. Linn MO 65051-9782 |
| Mailing Address |
P.o. Box 104780 Jefferson City MO 65110-4780 |
| Practice Telephone | 5738974946 |
| Practice Fax Number | 5738974941 |
| Mailing Telephone | 5736320243 |
| Mailing Fax Number | 5736326900 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | TOBY BARNETT (CHIEF FIN OFFICER) |
| Authorized Official Telephone | 5736320243 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507340107 | 05 | |
| MO | 507340115 | 05 | |
| MEDICARE | 26-1011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649622341 | Community Health Ctr of Central Missouri | Dentist | 408 Dix Rd, Jefferson City, MO 65109-1455 | 2016-07-06 |
| 1316282239 | Community Health Ctr of Central Missouri | Clinic/Center | 561 Commons Drive, Fulton, MO 65251-1489 | 2012-12-04 |
| 1205104403 | Community Health Ctr of Central Missouri | Clinic/Center | 104 N Gerhart Rd, California, MO 65018-2436 | 2011-12-02 |
| 1972001386 | Community Health Ctr of Central Missouri | Social Worker | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-01-31 |
| 1790922920 | Community Health Ctr of Central Missouri | Clinic/Center | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2009-01-09 |
| 1427225275 | Community Health Ctr of Central Missouri | Social Worker | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2008-05-12 |
| Street Address |
1016 E. MAIN ST. |
| City | LINN |
| State | MO |
| Zip Code | 65051-9782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538616032 | Marcia Heberle | Specialist/Technologist | 141 Wildcat Lane, Linn, MO 65051 | 2016-09-01 |
| 1093805475 | Shawn Kevin Elliott | Chiropractor | 1016 E Main, Linn, MO 65051 | 2006-10-13 |
| 1255640710 | Osage County Clerk | Public Health or Welfare | 205 East Main Street, Linn, MO 65051 | 2010-10-01 |
| 1346443678 | Lois Christine Aquino | Speech-Language Pathologist | 1212 E Main St, Osage County R-2 Schools, Linn, MO 65051 | 2007-06-06 |
| 1831319177 | Rudroff Isl, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1207 E Main St, Linn, MO 65051 | 2007-04-27 |
| 1053431544 | Osage County Special Services | Case Manager/Care Coordinator | 104 East Main Street, Linn, MO 65051 | 2007-03-30 |
| 1598885931 | Osage County Special Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1006 E Jefferson St, Linn, MO 65051-0319 | 2007-03-30 |
| 1366646630 | Osage Ambulance District | Ambulance | 119 Highway 89 South, Linn, MO 65051-0557 | 2007-06-12 |
| 1881938876 | Arbor Ridge Residential, LLC | Assisted Living Facility | 1409 E Main St, Linn, MO 65051-2501 | 2012-11-15 |
| 1083661615 | Jefferson City Medical Group, P.C. | Family Medicine | 1306 E Main St, Linn, MO 65051-2503 | 2006-05-28 |
| Find all providers in zip 65051 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386978 | Community Care of West Virginia, Inc. | Clinic/Center | 15300 Us Highway 33 W, Linn, WV 26384-9322 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.