| Elk River Health Services, Inc. | |
| 
					125 East Main Street Goodman MO 64843  | |
| (417) 364-8300 | |
| (417) 364-7290 | 
| Full Name | Elk River Health Services, Inc. | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 125 East Main Street, Goodman, Missouri | 
| Authorized Official Name and Position | Vicki Plumlee (DIRECTOR OF CLINICS) | 
| Authorized Official Contact | 4173648300 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elk River Health Services, Inc. Po Box 97 Goodman MO 64843-0097 Ph: (417) 364-8300  | Elk River Health Services, Inc. 125 East Main Street Goodman MO 64843 Ph: (417) 364-8300  | 
| NPI Number | 1144332693 | 
|---|---|
| Provider Enumeration Date | 08/31/2006 | 
| Last Update Date | 05/02/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144332693 | NPI | - | NPPES | 
| 593798903 | Medicaid | MO | |
| 503798902 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary | 
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Main Street, Goodman, MO 64843 Phone: 417-364-8300 Fax: 417-364-7290  | |
Ozark Tri County Healthcare Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N School St, Goodman, MO 64843 Phone: 417-782-6200 Fax: 417-782-6210  | |
Sgoh Acquisition, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912b State Highway 59, Goodman, MO 64843 Phone: 417-364-7290  |