Organization · Type 2 NPI

Community Health CTR of Central Missouri

Federally Qualified Health Center (FQHC) · Jefferson City, MO

NPI number 1790922920 Active

Practice location

1905 Stadium Blvd
Jefferson City, MO 65109-1961

Fax (573) 632-2769

Mailing address

PO Box 104780
Jefferson City, MO 65110-4780

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

25 other providers at this address

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About NPI 1790922920

Community Health CTR of Central Missouri's National Provider Identifier is 1790922920, issued on Jan 9, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jefferson City, MO. The record was last updated on Mar 10, 2016.