NPIMap

Organization Active NPI

River City Health Clinic, Inc

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
National Provider Identifier
1689725400
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RIVER CITY HEALTH CLINIC, INC
Practice address
224 N Frederick St
Cape Girardeau, MO 63701-5626
Phone
(573) 332-0121
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rhonda L Wilson
Title
Administrator
Phone
(573) 332-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

224 N Frederick St
Cape Girardeau, MO 63701-5626

Mailing address

224 N Frederick St
Cape Girardeau, MO 63701-5626
Phone (573) 332-0121

Other identifiers 1

IdentifierTypeStateIssuer
594649006MedicaidMO

National Provider Directory

National Provider Directory

Locations

224 N Frederick St
Cpe Girardeau, MO 63701
Phone (573) 332-0121

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1689725400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015626",
            "telephone_number": "573-332-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015626",
            "telephone_number": "573-332-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-332-0121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "594649006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.