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South Central Missouri Community Health Center

Family Medicine Physician in Rolla, MO · enumerated 2017 · authorized official Kelly Miller, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255867479

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Registry record

Entity type Organization (Type 2)
Legal business name South Central Missouri Community Health Center
Other name <Unavail>
Practice address 200 N Main St, Suite 51g, Rolla, MO, 65401
Fax (573) 426-6735
Enumeration date May 9, 2017
Last updated in NPPES May 9, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kelly Miller
Title Ceo

Other identifiers

Identifier Type State Issuer
1164669172 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-09. Verify at npiregistry.cms.hhs.gov.
Where is South Central Missouri Community Health Center located?
The practice location on file with NPPES is in Rolla, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-09.