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Rolla Health Care LLC

Skilled Nursing Facility in Rolla, MO · enumerated 2013 · authorized official Kam Mcgavock, President.

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

National Provider Identifier

1629403977

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Registry record

Entity type Organization (Type 2)
Legal business name Rolla Health Care LLC
Other name <Unavail>
Practice address 1200 Mccutchen Rd, Rolla, MO, 65401
Phone (573) 364-2311
Fax (573) 364-2748
Enumeration date Sep 5, 2013
Last updated in NPPES May 16, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kam Mcgavock
Title President
Phone (410) 773-1000

Other identifiers

Identifier Type State Issuer
101475408 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 2014-05-16. Verify at npiregistry.cms.hhs.gov.
Where is Rolla Health Care LLC located?
The practice location on file with NPPES is in Rolla, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-16.