SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
NPI 1194615757
Clinic/Center - Federally Qualified Health Center (FQHC) in Salem, MO

Active since July 07, 2025
703 SOUTH GRAND AVE, SALEM, MO 65560(573) 426-4455 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Central Missouri Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER (NPI 1194615757), doing business as Four Rivers Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Salem, Missouri and active in the NPI registry since July 2025. The organization lists Stuart Gipson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194615757
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Location Address703 SOUTH GRAND AVESalem, MO 65560
Mailing Address1081 E 18th StRolla, MO 65401-3398 · (573) 426-4455
Organization SubpartYes
Authorized OfficialStuart GipsonCeo · (573) 426-4455
Enumeration DateJuly 7, 2025
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1194615757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
703 SOUTH GRAND AVE, Salem, MO 65560

Other Names 1

Doing Business AsFour Rivers Community Health Center

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)

South Central Missouri Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to South Central Missouri Community Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner14
Family Practice6
Obstetrics/Gynecology2
General Practice1
Internal Medicine1
Pediatric Medicine1
Psychiatry1
Rheumatology1

Nearest to this location (20)

See all 27
Family Practice
NPI 1578853032
703 SOUTH GRAND AVENUE
Salem, MO 65560
(573) 426-4455
✔ PECOSSame address
Nurse Practitioner
NPI 1700105673
10895 GREENLEFE DR
Rolla, MO 65401
(573) 368-1861
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1306568738
1081 E 18TH ST
Rolla, MO 65401
(573) 426-2407
✔ PECOS21 mi
Nurse Practitioner
NPI 1548921943
1081 E. 18TH STREET
Rolla, MO 65401
(573) 426-4455
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1366283269
1081 E 18TH ST
Rolla, MO 65401
(573) 426-4455
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1154054708
1081 E 18TH ST
Rolla, MO 65401
(573) 426-4455
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1396717104
1081 E 18TH ST
Rolla, MO 65401
(734) 262-4075
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1073051942
1081 E 18TH ST
Rolla, MO 65401
(573) 458-7800
✔ PECOS✔ Accepts Medicare21 mi
General Practice
NPI 1477791606
1081 E 18TH ST
Rolla, MO 65401
(573) 426-6712
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1083083042
1081 E 18TH ST
Rolla, MO 65401
(573) 426-5900
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1366644320
416 S BISHOP AVE
Rolla, MO 65401
(573) 426-5900
✔ PECOS✔ Accepts Medicare22 mi
Pediatric Medicine
NPI 1942511753
1050 W 10TH ST
Rolla, MO 65401
(573) 364-3225
✔ PECOS23 mi
Internal Medicine
NPI 1457302937
1060 S BISHOP AVE
Rolla, MO 65401
(573) 426-5900
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1801090444
1060 S BISHOP AVE
Rolla, MO 65401
(573) 426-5900
✔ PECOS23 mi
Nurse Practitioner
NPI 1760966188
35629 HIGHWAY 72
Salem, MO 65560
(573) 729-8000
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1538150222
35629 HIGHWAY 72 BLDG II
Salem, MO 65560
(573) 729-6112
✔ PECOS30 mi
Nurse Practitioner
NPI 1508510298
1010 E SCENIC RIVERS BLVD
Salem, MO 65560
(573) 729-3106
✔ PECOS31 mi
Nurse Practitioner
NPI 1356696942
126 MISSOURI AVE
Fort Leonard Wood, MO 65473
(573) 596-1765
✔ PECOS44 mi
Family Practice
NPI 1376692939
608 CITY ROUTE 66
St. Robert, MO 65584
(573) 336-5100
✔ PECOS45 mi
Family Practice
NPI 1922099506
3527 W TRUMAN BLVD
Jefferson City, MO 65109
(573) 761-7979
✔ PECOS59 mi
See all 27 clinicians

Source: 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 1194615757. It was assigned to this organization in the NPPES registry on July 7, 2025. 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 703 South Grand Ave, Salem, MO 65560. The listed phone number is (573) 426-4455.

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, 1 practice at this address. 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 2 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 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.