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Organization
ELK RIVER HEALTH SERVICES, INC.
Active
Organization
ELK RIVER HEALTH SERVICES, INC.
Active
Other names
SOUTHWEST CITY COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI PLUMLEE (DIRECTOR OF CLINICS)
(417) 762-3287
Entity
Organization
Contact information
Practice address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
(417) 762-3255
Mailing address
PO BOX 160, 109 N BROADWAY, SOUTH WEST CITY, MO 64863-0160
(417) 762-3287
(417) 762-3255
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
261QR1300X
Rural Health Clinic/Center
—
OK
Other
Enumeration date
07/15/2005
Last updated
04/15/2014
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