Organization · Type 2 NPI

Salt River Community Health Center

Multi-Specialty Clinic/Center · Kahoka, MO

NPI number 1295058287 Active

Practice location

248 N Morgan St
Kahoka, MO 63445-1433

Call (660) 727-1500 Map

Fax (660) 727-1502

Mailing address

3145 N Highway 61
Hannibal, MO 63401-6588

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	19782870 (MO)

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1295058287
Entity type: Organization (Type 2)
Issued: Mar 5, 2010
Last updated: May 1, 2011
Status: Active
Subpart: Yes of Salt River Community Health Center

Other names

<unavail>
Salt River Community Dental Center · other name

Authorized official

Joan F Hynek
Executive Director
(573) 221-4422

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295058287

Salt River Community Health Center's National Provider Identifier is 1295058287, issued on Mar 5, 2010. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Kahoka, MO. The record was last updated on May 1, 2011.