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Impact Lifeline

Rural Health Clinic/Center in Rolla, MO · enumerated 2025 · authorized official Alisha Jones, Executive Administrator.

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

National Provider Identifier

1467257576

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Lifeline
Practice address 205 W 11th St, Rolla, MO, 65401
Fax (309) 326-4526
Enumeration date Feb 14, 2025
Last updated in NPPES Feb 19, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Secondary
251F00000X Home Infusion Agency Agencies Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Alisha Jones
Title Executive Administrator

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

What is the NPI number for Impact Lifeline?
The NPI for Impact Lifeline is 1467257576, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Impact Lifeline?
NPPES lists Alisha Jones (Executive Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-19.