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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMPACT LIFELINE

Active Organization

Rural Health Clinic · ROLLA, MO

Registration Details

NPI Number
1467257576
Provider Type
Organization
NPI Issued
Feb 14, 2025 (1.1807341368328 yrs)
Last Updated
Feb 19, 2025

Practice Information

Address
205 W 11TH ST
ROLLA, MO, 654012804
Browse MO providers · Browse ZIP 65401
Phone
3142794565
Fax
3093264526
Primary Specialty
Rural Health Clinic
261QR1300X
Additional Specialty
Family Medicine
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Rural Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.