1467257576 IMPACT LIFELINE

Rural Health Clinic/Center

Active

Basic Information

Organization Name
IMPACT LIFELINE
Enumeration Date
February 14, 2025
Last Update
February 19, 2025
Authorized Official
ALISHA MICHELLE JONES NP-C
EXECUTIVE ADMINISTRATOR
Phone: (314) 279-4565

Practice Location

Address
205 W 11TH ST
ROLLA, MO 654012804
Phone
(314) 279-4565
Fax
(309) 326-4526

Mailing Address

Address
8 LAURELWOOD CT
SAINT LOUIS, MO 631464940
Phone
(314) 279-4565
Fax
(309) 326-4526

Specialties & Taxonomies

Specialty Code Classification License State Primary
Home Infusion Agency
 251F00000X Home Infusion N/A N/A No
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A No
Public Health & General Preventive Medicine Physician
Public Health & General Preventive Medicine
 2083P0901X Preventive Medicine N/A N/A No
Family Nurse Practitioner
Family
 363LF0000X Nurse Practitioner N/A N/A No
Rural Health Clinic/Center
Rural Health
 261QR1300X Clinic/Center N/A N/A Primary

Additional Practice Locations

13191 Rich Ln
Rolla, MO 654017546

Phone: (314) 279-4565

Frequently Asked Questions

What is IMPACT LIFELINE's NPI number?
IMPACT LIFELINE's NPI number is 1467257576.
Which doctor has NPI number 1467257576?
The doctor with NPI number 1467257576 is IMPACT LIFELINE.
What is IMPACT LIFELINE's practice address?
IMPACT LIFELINE's practice address is 205 W 11TH ST, ROLLA, MO, 654012804.
Which doctor practices at 205 W 11TH ST, ROLLA, MO, 654012804?
IMPACT LIFELINE practices at 205 W 11TH ST, ROLLA, MO, 654012804.
What is IMPACT LIFELINE's mailing address?
IMPACT LIFELINE's mailing address is 8 LAURELWOOD CT, SAINT LOUIS, MO, 631464940.
What is IMPACT LIFELINE's phone number?
IMPACT LIFELINE's phone number is (314) 279-4565.
Who is (314) 279-4565?
(314) 279-4565 is the phone number for IMPACT LIFELINE.
What is IMPACT LIFELINE's specialty?
IMPACT LIFELINE's specialty is Rural Health Clinic/Center.
What type of doctor is IMPACT LIFELINE?
IMPACT LIFELINE is a Rural Health Clinic/Center.
Is IMPACT LIFELINE a Rural Health?
Yes, IMPACT LIFELINE is a Rural Health.
Is IMPACT LIFELINE still practicing?
Yes, IMPACT LIFELINE is currently practicing.
Is IMPACT LIFELINE accepting new patients?
IMPACT LIFELINE may be accepting new patients. Please call their office at (314) 279-4565 to inquire about availability.
Is NPI 1467257576 still active?
Yes, NPI 1467257576 is currently active.
Where does IMPACT LIFELINE practice?
IMPACT LIFELINE practices in ROLLA, MO.