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Organization

ELK RIVER HEALTH SERVICES, INC.

Active
Other names
GOODMAN FAMILY CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI PLUMLEE (DIRECTOR OF CLINICS)
(417) 364-8300
Entity
Organization

Contact information

Practice address
125 EAST MAIN STREET, GOODMAN, MO 64843
(417) 364-8300
(417) 364-7290
Mailing address
PO BOX 97, GOODMAN, MO 64843-0097
(417) 364-8300
(417) 364-7290

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
503798902
MO
05
593798903
MO
Enumeration date
08/31/2006
Last updated
05/02/2014
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