# SALT RIVER COMMUNITY HEALTH CENTER

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

## Provider details

- **NPI number:** 1750422457
- **Authorized official:** JOAN F HYNEK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (573) 221-4422

## Contact information

- **Practice address:** 3145 HIGHWAY 61, HANNIBAL, MO 63401-6588
- **Practice address phone:** (573) 221-1166
- **Practice address fax:** (573) 221-1214
- **Mailing address:** 3145 HIGHWAY 61, HANNIBAL, MO 63401-6588
- **Mailing address phone:** (573) 221-4422
- **Mailing address fax:** (573) 221-4470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 19782870 | MO | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 19782870 | MO | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 07/21/2010