# ELK RIVER HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PINEVILLE MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548269046
- **Authorized official:** VICKI PLUMLEE (DIRECTOR OF CLINICS)
- **Authorized official phone:** (417) 223-4290

## Contact information

- **Practice address:** 5265 S BUS HWY 71, SUITE J, PINEVILLE, MO 64856
- **Practice address phone:** (417) 223-4290
- **Practice address fax:** (417) 223-4299
- **Mailing address:** PO BOX 265, 5265 S BUS HWY 71, SUITE J, PINEVILLE, MO 64856-0265
- **Mailing address phone:** (417) 223-4290
- **Mailing address fax:** (417) 223-4299

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 04/16/2014