Organization
ELK RIVER HEALTH SERVICES, INC.
Active
Other names
PINEVILLE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI PLUMLEE (DIRECTOR OF CLINICS)
(417) 223-4290
Entity
Organization
Contact information
Practice address
5265 S BUS HWY 71, SUITE J, PINEVILLE, MO 64856
(417) 223-4290
(417) 223-4299
Mailing address
PO BOX 265, 5265 S BUS HWY 71, SUITE J, PINEVILLE, MO 64856-0265
(417) 223-4290
(417) 223-4299
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506813807
—
MO
05
—
596813824
—
MO
Enumeration date
07/18/2005
Last updated
04/16/2014
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