Salt River Community Health Center
Organization Active NPI Multi-Specialty Clinic/Center · Kahoka, MO
NPI 1295058287 · NPPES record last updated May 1, 2011
Key facts
- NPI
- 1295058287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 19782870 (MO)
- Legal business name
- SALT RIVER COMMUNITY HEALTH CENTER
- Practice address
- 248 N Morgan St
Kahoka, MO 63445-1433 - Phone
- (660) 727-1500
- Fax
- (660) 727-1502
- NPI assigned
- Mar 5, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- SALT RIVER COMMUNITY HEALTH CENTER
Authorized official
- Name
- Joan F Hynek
- Title
- Executive Director
- Phone
- (573) 221-4422
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Salt River Community Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 19782870 | MO | Yes |
Addresses
Primary practice location
248 N Morgan St
Kahoka, MO 63445-1433
Mailing address
3145 N Highway 61
Hannibal, MO 63401-6588
Phone (573) 221-4422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750422457 | Other | MO | NPI (PARENT ORGANIZATION) |
| 833215221 | Other | MO | MEDICARE-PTAN |
Other names
- Salt River Community Dental Center
Other providers in Kahoka, MO
- Quincy Physicians & Surgeons Clinic, PLLC
- Quincy Physicians & Surgeons Clinic, PLLC
- Regional Home Care, Inc.
- Regional Private Health Services Inc
- Renewed Hope Counseling & Healing, LLC
- Scotland County Memorial Hospital Dba Kahoka Medical Services
- Jennifer Leigh Vaughn
- Anne E Walker
- Coleen Kay Watson
- Briana Whiston
All providers in Kahoka, MO · Multi-Specialty Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.