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YOUR COMMUNITY HEALTH CENTER
NPI 1255867479
Family Medicine in Rolla, MO

Active since May 09, 2017CLIA 26D2070362 · Waiver
200 N MAIN ST, SUITE 51G, ROLLA, MO 65401(573) 426-6712(573) 426-6735 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Your Community Health Center NPPES

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

YOUR COMMUNITY HEALTH CENTER (NPI 1255867479) is a healthcare organization registered as a family medicine in Rolla, Missouri and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Kelly Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255867479
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Location Address200 N MAIN ST, SUITE 51GRolla, MO 65401-3061
Mailing Address200 N Main St, Suite 51gRolla, MO 65401-3061 · (573) 426-6712 · Fax (573) 426-6735
Phone(573) 426-6712
Fax(573) 426-6735
Organization SubpartNo
Authorized OfficialKelly MillerCeo · (573) 426-6712
Enumeration DateMay 9, 2017
✔ NPI 1255867479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 N MAIN ST, Rolla, MO 65401
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Other Names 1

Doing Business AsYour Community Health Center

Other Identifiers 1

Medicaid1164669172MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2070362

Your Community Health Center · Rolla, MO
Active · expires Dec 12, 2027
CLIA Number26D2070362
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorMatthew T. Porter
Laboratory Phone(573) 426-4455
Laboratory LocationYour Community Health Center1081 E 18th Street, Rolla, MO 65401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHELPS COUNTY CLERK
Clinic/Center (Public Health, State or Local)
200 N MAIN ST, STE G51
ROLLA, MO 65401
Phelps County (573) 458-6010
SHIRLEY MAE HITT FNP
Nurse Practitioner (Family)
200 N MAIN ST, STE G51
ROLLA, MO 65401
Phelps County (573) 458-6010

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 1255867479. It was assigned to this organization in the NPPES registry on May 9, 2017. The provider is doing business as Your Community Health Center.

Where is South Central Missouri Community Health Center located?

South Central Missouri Community Health Center is located at 200 N Main St Suite 51G, Rolla, MO 65401. The listed phone number is (573) 426-6712.

What is South Central Missouri Community Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does South Central Missouri Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2070362) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Central Missouri Community Health Center was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.