# 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:** 1295865624
- **Authorized official:** VICKI PLUMLEE (DIRECTOR OF CLINICS)
- **Authorized official phone:** (417) 762-3287

## Contact information

- **Practice address:** 109 N BROADWAY, SOUTH WEST CITY, MO 64863-0160
- **Practice address phone:** (417) 762-3287
- **Practice address fax:** (417) 762-3255
- **Mailing address:** PO BOX 160, 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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 04/15/2014