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Organization
SPRING RIVER MENTAL HEALTH AND WELLNESS INC
Active
Organization
SPRING RIVER MENTAL HEALTH AND WELLNESS INC
Active
Other names
Spring River Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JACKSON (EXECUTIVE DIRECTOR)
(620) 848-2300
Entity
Organization
Contact information
Practice address
6524 SE QUAKERVALE RD, RIVERTON, KS 66770-4214
(620) 848-2380
(620) 848-2381
Mailing address
PO BOX 550, RIVERTON, KS 66770-0550
(620) 848-2380
(620) 848-2381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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