# EASTERN MISSOURI GENERAL SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467518464
- **Authorized official:** MR. RIOHARD MARTIN SECOR JR. DO (PRESIDENT PHYSICIAN)
- **Authorized official phone:** (573) 431-4510

## Contact information

- **Practice address:** 322 NO STATE STREET, DESLOGE, MO 63601-3052
- **Practice address phone:** (573) 431-4510
- **Practice address fax:** (573) 431-4790
- **Mailing address:** 322 NO STATE STREET, DESLOGE, MO 63601-3052
- **Mailing address phone:** (573) 431-4510
- **Mailing address fax:** (573) 431-4790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10179 | MS | — |
| 207Q00000X | Family Medicine Physician | R9A44 | MO | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0130013 | UNITED HEALTH CARE | — |
| 01 | — | 04232001 | AETNA | MO |
| 01 | — | 101430 | HL HEALTHLINK | MO |
| 01 | — | 103 | GHP GROUP HEALTH PLAN | — |
| 01 | — | 25000 | BCBS | MO |
| 01 | — | 4384846 | AETNA | — |