Elk River Health Services, Inc.
Organization Active NPI Family Medicine Physician · South West City, MO
NPI 1295865624 · NPPES record last updated Apr 15, 2014
Key facts
- NPI
- 1295865624
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ELK RIVER HEALTH SERVICES, INC.
- Practice address
- 109 N Broadway
South West City, MO 64863-0160 - Phone
- (417) 762-3287
- Fax
- (417) 762-3255
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Vicki Plumlee
- Title
- Director of Clinics
- Phone
- (417) 762-3287
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
109 N Broadway
South West City, MO 64863-0160
Mailing address
PO Box 160
South West City, MO 64863-0160
Phone (417) 762-3287
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506813815 | Medicaid | MO |
Other names
- Southwest City Community Clinic
Other providers in South West City, MO
- Elk River Health Services, Inc.
- Robert David Hill
- Audrey Anne Hubler
- Sgoh Acquisition, Inc.
- Ashley N Weathers
- Shaye Wilson
All providers in South West City, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2014. 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.