COMMUNITY HEALTH CTR OF CENTRAL MISSOURI (NPI# 1790922920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790922920 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Practice Address |
1905 Stadium Blvd Jefferson City MO 65109-1961 |
| Mailing Address |
Po Box 104780 Jefferson City MO 65110-4780 |
| Practice Telephone | 5736322777 |
| Practice Fax Number | 5736322769 |
| Mailing Telephone | 5736320243 |
| Mailing Fax Number | 5736320248 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2016-03-10 |
| Authorized Official Name | TOBY BARNETT (CHIEF FIN OFFICER) |
| Authorized Official Telephone | 5736320243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| 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 |
| 1538213244 | Community Health Ctr of Central Missouri | Family Medicine | 1016 E. Main St., Linn, MO 65051-9782 | 2007-01-22 |
| 1972001386 | Community Health Ctr of Central Missouri | Social Worker | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-01-31 |
| 1427225275 | Community Health Ctr of Central Missouri | Social Worker | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2008-05-12 |
| Street Address |
1905 STADIUM BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407367 | Amy M Blake | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2005-12-09 |
| 1093329229 | Jordan Hargrove | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2020-09-04 |
| 1073156998 | Michele Ernst Christman | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2019-10-23 |
| 1033752209 | Chloe Payton Rimer | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2019-10-21 |
| 1922570639 | Heather Renee Klemp | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-12-19 |
| 1780163436 | Marissa Rae Abbott | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-08-13 |
| 1326526542 | Amber Dawn Johnson | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-07-31 |
| 1295213619 | Titus Shane Mayberry | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109 | 2018-07-30 |
| 1417433731 | Danielle Mackenzie Howell | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-07-19 |
| 1063905305 | Katelyn Mccoy | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CTR OF CENTRAL MISSOURI.
| 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.