SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
NPI 1346079613
Clinic/Center - Federally Qualified Health Center (FQHC) in Rolla, MO

Active since July 26, 2024
1060 S BISHOP AVE, ROLLA, MO 65401(573) 426-4455(573) 426-6723 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Jul 26, 2024 (2 updates tracked since 2024).

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 1346079613), doing business as Four Rivers Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Rolla, Missouri and active in the NPI registry since July 2024. The organization lists Stuart Gipson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346079613
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Location Address1060 S BISHOP AVERolla, MO 65401-4411
Mailing Address1081 E 18th StRolla, MO 65401-2448 · (573) 426-4455 · Fax (573) 426-6723
Fax(573) 426-6723
Organization SubpartNo
Authorized OfficialStuart GipsonCeo · (573) 426-4455
Enumeration DateJuly 26, 2024
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1346079613 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
1060 S BISHOP AVE, Rolla, MO 65401

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, 2 practice at this address and 13 within 10 miles. 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
Internal Medicine
NPI 1457302937
1060 S BISHOP AVE
Rolla, MO 65401
(573) 426-5900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801090444
1060 S BISHOP AVE
Rolla, MO 65401
(573) 426-5900
✔ PECOSSame address
Nurse Practitioner
NPI 1366644320
416 S BISHOP AVE
Rolla, MO 65401
(573) 426-5900
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1942511753
1050 W 10TH ST
Rolla, MO 65401
(573) 364-3225
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1306568738
1081 E 18TH ST
Rolla, MO 65401
(573) 426-2407
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1548921943
1081 E. 18TH STREET
Rolla, MO 65401
(573) 426-4455
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1366283269
1081 E 18TH ST
Rolla, MO 65401
(573) 426-4455
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1154054708
1081 E 18TH ST
Rolla, MO 65401
(573) 426-4455
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1396717104
1081 E 18TH ST
Rolla, MO 65401
(734) 262-4075
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1073051942
1081 E 18TH ST
Rolla, MO 65401
(573) 458-7800
✔ PECOS✔ Accepts Medicare2.4 mi
General Practice
NPI 1477791606
1081 E 18TH ST
Rolla, MO 65401
(573) 426-6712
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1083083042
1081 E 18TH ST
Rolla, MO 65401
(573) 426-5900
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1700105673
10895 GREENLEFE DR
Rolla, MO 65401
(573) 368-1861
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1356696942
126 MISSOURI AVE
Fort Leonard Wood, MO 65473
(573) 596-1765
✔ PECOS22 mi
Family Practice
NPI 1376692939
608 CITY ROUTE 66
St. Robert, MO 65584
(573) 336-5100
✔ PECOS22 mi
Family Practice
NPI 1578853032
703 SOUTH GRAND AVENUE
Salem, MO 65560
(573) 426-4455
✔ PECOS23 mi
Nurse Practitioner
NPI 1760966188
35629 HIGHWAY 72
Salem, MO 65560
(573) 729-8000
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1538150222
35629 HIGHWAY 72 BLDG II
Salem, MO 65560
(573) 729-6112
✔ PECOS24 mi
Nurse Practitioner
NPI 1508510298
1010 E SCENIC RIVERS BLVD
Salem, MO 65560
(573) 729-3106
✔ PECOS24 mi
Family Practice
NPI 1922099506
3527 W TRUMAN BLVD
Jefferson City, MO 65109
(573) 761-7979
✔ PECOS52 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 1346079613. It was assigned to this organization in the NPPES registry on July 26, 2024. 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 1060 S Bishop Ave, Rolla, MO 65401. 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, 2 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 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 June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.