ELK RIVER HEALTH SERVICES, INC. (NPI# 1144332693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144332693 |
| Entity Type | Organization |
| Organization Name | ELK RIVER HEALTH SERVICES, INC. |
| Other Organization Name | GOODMAN FAMILY CLINIC |
| Practice Address |
125 East Main Street Goodman MO 64843 |
| Mailing Address |
Po Box 97 Goodman MO 64843-0097 |
| Practice Telephone | 4173648300 |
| Practice Fax Number | 4173647290 |
| Mailing Telephone | 4173648300 |
| Mailing Fax Number | 4173647290 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | VICKI PLUMLEE (DIRECTOR OF CLINICS) |
| Authorized Official Telephone | 4173648300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 503798902 | 05 | |
| MO | 593798903 | 05 |
| Other Name | Type Code |
|---|---|
| GOODMAN FAMILY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295865624 | Elk River Health Services, Inc. | Family Medicine | 109 N Broadway, South West City, MO 64863-0160 | 2007-03-06 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1134128721 | Elk River Health Services, Inc. | Clinic/Center | 104 E Main Street, Anderson, MO 64831-0750 | 2005-07-18 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1174522882 | Elk River Health Services, Inc. | Clinic/Center | 109 N Broadway St, South West City, MO 64863-9417 | 2005-07-15 |
| 1952431389 | Elk River Health Services, Inc. | Family Medicine | 104 E Main Street, Anderson, MO 64831 | 2007-03-06 |
| 1497885826 | Elk River Health Services, Inc. | Family Medicine | 125 E Main Street, Goodman, MO 64843-0097 | 2007-03-06 |
| Street Address |
125 EAST MAIN STREET |
| City | GOODMAN |
| State | MO |
| Zip Code | 64843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476122 | Tessa Mirann Gingerich | Physician Assistant | 125 E Main St, Goodman, MO 64843 | 2017-02-13 |
| 1487682563 | Julie Frances Chrisco | Nurse Practitioner | 125 E Main Street, Goodman, MO 64843-0097 | 2006-06-29 |
| 1497885826 | Elk River Health Services, Inc. | Family Medicine | 125 E Main Street, Goodman, MO 64843-0097 | 2007-03-06 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1063604361 | Gary Mark Duke | Counselor | 115 E Main St, Goodman, MO 64843-9784 | 2007-08-10 |
| 1588774855 | Scott Leo Kwapiszeski | Chiropractor | 135 N Roy Hill Blvd, Goodman, MO 64843-9806 | 2006-08-30 |
| 1710005160 | Scott Chiropractic Clinic PC | Chiropractor | 135 N Roy Hill Blvd, Goodman, MO 64843-9806 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915058 | Katherine Suzanne Bailey | Speech-Language Pathologist | 6299 Highway 14, Goodman, MS 39079-9584 | 2019-08-01 |
| 1104279355 | Mallory Community Health | Clinic/Center | 3877 Highway 51, Goodman, MS 39079-9588 | 2016-07-22 |
| 1992986558 | Goodman-armstrong Creek School District | Local Education Agency (LEA) | # 1 Falcon Crest Rd., Goodman, WI 54125 | 2007-11-23 |
| 1861542078 | Goodman Armstrong Rescue Squad Inc | Ambulance | 506 Mill St, Goodman, WI 54125-0393 | 2007-01-11 |
| 1497828529 | Harry Albert Bartee Sr. | Family Medicine | 223 Railroad St, Goodman, MS 39079 | 2006-11-16 |
| 1255378626 | Dickinson County Healthcare System | Physician Assistant | W15236 Us Highway 8, Goodman, WI 54125-9733 | 2006-06-02 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
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|---|---|---|---|---|
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| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.