# ELK RIVER HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHWEST CITY COMMUNITY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174522882
- **Authorized official:** VICKI PLUMLEE (DIRECTOR OF CLINICS)
- **Authorized official phone:** (417) 762-3287

## Contact information

- **Practice address:** 109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
- **Practice address phone:** (417) 762-3287
- **Practice address fax:** (417) 762-3255
- **Mailing address:** PO BOX 160, 109 N BROADWAY, SOUTH WEST CITY, MO 64863-0160
- **Mailing address phone:** (417) 762-3287
- **Mailing address fax:** (417) 762-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | OK | — |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 04/15/2014