RIVER CITY HEALTH CLINIC INC NPI 1689725400

NPI Information

NPI: 1689725400
Provider Name: RIVER CITY HEALTH CLINIC, INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
224 N FREDERICK ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 332-0121
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RIVER CITY HEALTH CLINIC, INC is a rural health clinic center in Cape Girardeau, MO. RIVER CITY HEALTH CLINIC, INC NPI is 1689725400. The provider is registered as an organization entity type.

The provider's business location address is:

224 N FREDERICK ST
CAPE GIRARDEAU, MO
ZIP 63701-626
Phone: (573) 332-0121

The provider's authorized official is Rhonda L Wilson .
The authorized official title is Administrator and has the following contact phone number (573) 332-0121.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	594649006	MEDICAID	MISSOURI
2	263892	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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