Organization Active NPI

Elk River Health Services, Inc.

Doing business as Anderson Rural Health Clinic

  • Family Medicine Physician
  • Anderson, MO
National Provider Identifier
1952431389
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELK RIVER HEALTH SERVICES, INC.
Doing business as
Anderson Rural Health Clinic
Practice address
104 E Main Street
Anderson, MO 64831
Phone
(417) 845-6984
Fax
(417) 845-6976
NPI assigned
Mar 6, 2007
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Vicki Plumlee
Title
Director of Clinics
Phone
(417) 845-6984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 E Main Street
Anderson, MO 64831

Mailing address

104 E Main Street
PO Box 750
Anderson, MO 64831-0750
Phone (417) 845-6984

Other identifiers 1

IdentifierTypeStateIssuer
507681385MedicaidMO

Other names 1

  • Anderson Rural Health Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1952431389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E MAIN STREET",
            "address_2": "PO BOX 750",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648310750",
            "telephone_number": "417-845-6984",
            "fax_number": "417-845-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN STREET",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "64831",
            "telephone_number": "417-845-6984",
            "fax_number": "417-845-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "PLUMLEE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICS",
        "authorized_official_telephone_number": "417-845-6984"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507681385",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.