Organization
RIVER CITY HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA L WILSON (ADMINISTRATOR)
(573) 332-0121
Entity
Organization
Contact information
Practice address
224 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-5626
(573) 332-0121
Mailing address
224 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-5626
(573) 332-0121
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594649006
—
MO
Enumeration date
01/16/2007
Last updated
12/04/2012
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