Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1548269046 |
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| LBN Legal business name | ELK RIVER HEALTH SERVICES, INC. | ||||||||
| Authorized official | VICKI PLUMLEE - (DIRECTOR OF CLINICS) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/18/2005 | ||||||||
| Last updated | 04/16/2014 - About 12 years ago | ||||||||
| Identifiers |
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