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NPI Code Detail

MEDICARE: SENIOR CITIZENS COMMUNITY CENTER

MEDICARE: SENIOR CITIZENS COMMUNITY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center14299127MO

General Provider Information

NPI Number : 1396864815
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CITIZENS COMMUNITY CENTER
Provider Business Mailing Address
First Line : 112 E MARION ST
Second Line :
City : PARIS
State : MO
Zip : 65275-1041
Country : US
Telephone Number : 660-327-5824
Fax Number : 660-327-1025
Provider Business Practice Location Address
First Line : 112 E MARION ST
Second Line :
City : PARIS
State : MO
Zip : 65275-1041
Country : US
Telephone Number : 660-327-5824
Fax Number : 660-327-1025
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. ROSEANN JOSEPHINE SIMS
Credential :
Telephone Number : 660-327-5824
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “SENIOR CITIZENS COMMUNITY CENTER ” Practice Location

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