River City Health Clinic, Inc

LBN: River City Health Clinic, Inc
River City Health Clinic, Inc is an health care organization with primary practice located at 224 N Frederick St , Cape Girardeau MO 63701-5626. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. River City Health Clinic, Inc can be contacted via phone (573) 332-0121, or through Wilson, Rhonda L via phone (573) 332-0121.

Contact Information

Primary practice address
224 N Frederick St Cape Girardeau MO 63701-5626
Phone: (573) 332-0121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Rhonda L
Phone: (573) 332-0121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1689725400
LBN Legal business name River City Health Clinic, Inc
DBA Doing business as
Authorized official Wilson, Rhonda L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 4th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689725400 NPPES
Missouri MEDICAID 594649006

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