FOUR RIVERS COMMUNITY HEALTH CENTER
NPI 1164669172
Clinic/Center - Federally Qualified Health Center (FQHC) in Rolla, MO
About Four Rivers Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR RIVERS COMMUNITY HEALTH CENTER (NPI 1164669172) is a healthcare organization registered as a federally qualified health center (fqhc) in Rolla, Missouri and active in the NPI registry since January 2009. The organization lists Elizabeth Sparks, Hr Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Rivers Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Four Rivers Community Health Center, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Central Missouri Community Health Center's NPI number?
The NPI number for South Central Missouri Community Health Center is 1164669172. It was assigned to this organization in the NPPES registry on January 13, 2009. The provider is doing business as Four Rivers Community Health Center.
Where is South Central Missouri Community Health Center located?
South Central Missouri Community Health Center is located at 1081 E 18th St, Rolla, MO 65401. The listed phone number is (573) 426-2407.
What is South Central Missouri Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is South Central Missouri Community Health Center enrolled in Medicare?
Yes. South Central Missouri Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Central Missouri Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 8 Medicare specialties reassign their Medicare billing to South Central Missouri Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Family Practice (6) and Obstetrics/Gynecology (2). Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Central Missouri Community Health Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 7 other insurers list South Central Missouri Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Central Missouri Community Health Center was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Four Rivers Community Health Center · NPI 1164669172
Federally Qualified Health Center (FQHC) organization in Rolla, Missouri. Organization record, active in the CMS NPPES registry since January 13, 2009.
## Identity
- **NPI:** 1164669172 (Entity type: Organization)
- **Enumerated:** January 13, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** South Central Missouri Community Health Center
- **Organization subpart:** No
- **Authorized official:** Elizabeth Sparks, HR MANAGER
## Practice location
- **Address:** 1081 E 18TH ST, Rolla, MO 65401-2448
- **Phone:** (573) 426-2407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (6), Obstetrics/Gynecology (2); 8 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1164669172/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164669172) · Data from the CMS NPPES public registry.