Organization
ELK RIVER HEALTH SERVICES, INC.
Active
Other names
SOUTHWEST CITY COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI PLUMLEE (DIRECTOR OF CLINICS)
(417) 762-3287
Entity
Organization
Contact information
Practice address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
(417) 762-3255
Mailing address
PO BOX 160, 109 N BROADWAY, SOUTH WEST CITY, MO 64863-0160
(417) 762-3287
(417) 762-3255
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
261QR1300X
Rural Health Clinic/Center
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100713200A
—
OK
05
—
506813815
—
MO
05
—
596813808
—
MO
Enumeration date
07/15/2005
Last updated
04/15/2014
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