| River City Health Clinic, Inc | |
|
224 N Frederick St Cape Girardeau MO 63701-5626 | |
| (573) 332-0121 | |
| Not Available |
| Full Name | River City Health Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 224 N Frederick St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Rhonda L Wilson (ADMINISTRATOR) |
| Authorized Official Contact | 5733320121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Health Clinic, Inc 224 N Frederick St Cape Girardeau MO 63701-5626 Ph: (573) 332-0121 | River City Health Clinic, Inc 224 N Frederick St Cape Girardeau MO 63701-5626 Ph: (573) 332-0121 |
| NPI Number | 1689725400 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689725400 | NPI | - | NPPES |
| 594649006 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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