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SOUTHWEST CITY COMMUNITY CLINIC
NPI 1174522882
Clinic/Center - Rural Health in South West City, MO

Active since July 15, 2005
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863(417) 762-3287(417) 762-3255 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwest City Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST CITY COMMUNITY CLINIC (NPI 1174522882) is a healthcare organization registered as a rural health in South West City, Missouri and active in the NPI registry since July 2005. The organization lists Vicki Plumlee, Director Of Clinics, as its authorized official.

NPPES Registry Identity

NPI1174522882
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameELK RIVER HEALTH SERVICES, INC.
Location Address109 N BROADWAY STSouth West City, MO 64863-9417
Mailing AddressPo Box 160, 109 N BroadwaySouth West City, MO 64863-0160 · (417) 762-3287 · Fax (417) 762-3255
Phone(417) 762-3287
Fax(417) 762-3255
Organization SubpartNo
Authorized OfficialVicki PlumleeDirector Of Clinics · (417) 762-3287
Enumeration DateJuly 15, 2005
Last NPPES UpdateApril 15, 2014
✔ NPI 1174522882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
109 N BROADWAY ST, South West City, MO 64863
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Other Names 1

Doing Business AsSouthwest City Community Clinic

Other Identifiers 4

Medicaid100713200AOK
Medicare OSCAR/certification263821MO
Medicaid596813808MO
Medicaid506813815MO

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT DAVID HILL DO
Family Medicine
109 N BROADWAY ST
SOUTH WEST CITY, MO 64863
McDonald County (417) 762-3287
ASHLEY N WEATHERS CFNP
Nurse Practitioner (Primary Care)
109 N BROADWAY ST
SOUTH WEST CITY, MO 64863
McDonald County (417) 762-3287
BENJAMIN KEITH WINN PA-C
Physician Assistant
109 N BROADWAY ST
SOUTH WEST CITY, MO 64863
McDonald County (417) 762-3287
SGOH ACQUISITION, INC.
Clinic/Center (Rural Health)
109 N BROADWAY ST
SOUTH WEST CITY, MO 64863
McDonald County (417) 762-3287
AUDREY ANNE HUBLER FNP
Nurse Practitioner (Family)
109 N BROADWAY ST
SOUTH WEST CITY, MO 64863
McDonald County (417) 762-3287

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elk River Health Services, Inc.'s NPI number?

The NPI number for Elk River Health Services, Inc. is 1174522882. It was assigned to this organization in the NPPES registry on July 15, 2005. The provider is doing business as Southwest City Community Clinic.

Where is Elk River Health Services, Inc. located?

Elk River Health Services, Inc. is located at 109 N Broadway St, South West City, MO 64863. The listed phone number is (417) 762-3287.

What is Elk River Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Elk River Health Services, Inc. was last updated on April 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.