Organization · Type 2 NPI

South Central Missouri Community Health Center

Federally Qualified Health Center (FQHC) · Salem, MO

NPI number 1194615757 Active

Practice location

703 South Grand Ave
Salem, MO 65560

Call (573) 426-4455 Map

Mailing address

1081 E 18th St
Rolla, MO 65401-3398

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Salem

South Central Missouri Community Health CenterFederally Qualified Health Center (FQHC) Salem, MO NPI 1538838560

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NPI record

NPI: 1194615757
Entity type: Organization (Type 2)
Issued: Jul 7, 2025
Last updated: Feb 11, 2026
Status: Active
Subpart: Yes of South Central Missouri Community Health Center

Other names

Four Rivers Community Health Center · doing business as

Authorized official

Stuart Gipson
CEO
(573) 426-4455

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194615757

South Central Missouri Community Health Center's National Provider Identifier is 1194615757, issued on Jul 7, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Salem, MO. The record was last updated on Feb 11, 2026.