Organization
SALT RIVER COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN F HYNEK (EXECUTIVE DIRECTOR)
(573) 221-4422
Entity
Organization
Contact information
Practice address
3145 HIGHWAY 61, HANNIBAL, MO 63401-6588
(573) 221-1166
(573) 221-1214
Mailing address
3145 HIGHWAY 61, HANNIBAL, MO 63401-6588
(573) 221-4422
(573) 221-4470
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
19782870
MO
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
19782870
MO
Other
Enumeration date
02/08/2007
Last updated
07/21/2010
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