ELK RIVER HEALTH SERVICES, INC. (NPI# 1851420525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851420525 |
| Entity Type | Organization |
| Organization Name | ELK RIVER HEALTH SERVICES, INC. |
| Other Organization Name | PINEVILLE MEDICAL CLINIC |
| Practice Address |
5265 S Bus Hwy 71 Suite J Pineville MO 64856-0265 |
| Mailing Address |
Po Box 265 Pineville MO 64856-0265 |
| Practice Telephone | 4172234290 |
| Practice Fax Number | 4172234299 |
| Mailing Telephone | 4172234290 |
| Mailing Fax Number | 4172234299 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | VICKI PLUMLEE (DIRECTOR OF CLINICS) |
| Authorized Official Telephone | 4172234290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 506813807 | 05 |
| Other Name | Type Code |
|---|---|
| Pineville Medical 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 |
| 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 |
| 1144332693 | Elk River Health Services, Inc. | Clinic/Center | 125 East Main Street, Goodman, MO 64843 | 2006-08-31 |
| Street Address |
5265 S BUS HWY 71 SUITE J |
| City | PINEVILLE |
| State | MO |
| Zip Code | 64856-0265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915244 | Gary David Neymeyer | Optometrist | 342 Commercial Drive, Pineville, MO 64856 | 2007-03-28 |
| 1790811784 | Lifestyle Wellness Center, LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2007-02-26 |
| 1093715740 | Judith G Lewallen | Nurse Practitioner | 100 Jessie James Blvd, Pineville, MO 64856 | 2005-07-22 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1780859272 | Lifestyle Wellness Center LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2008-04-25 |
| 1861670317 | State Line Chiropractic Clinic LLC | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856 | 2008-02-07 |
| 1104028687 | Norman Alan Smith | Chiropractor | 307 Main St, Pineville, MO 64856 | 2007-06-05 |
| 1548271265 | Wal-mart Stores East Lp | Technician/Technologist | 100 Commercial Dr, Pineville, MO 64856 | 2006-08-10 |
| 1184740334 | County of Mcdonald | Public Health or Welfare | 500 Olin St, Pineville, MO 64856-0366 | 2007-03-21 |
| 1538319009 | Norman Fredrick Waters | Registered Nurse | 1437 Tyson Rd, Pineville, MO 64856-7014 | 2008-09-22 |
| Find all providers in zip 64856 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487046835 | Louisiana Quick Care LLC | Family Medicine | 12805 Highway 28 E Ste B, Pineville, LA 71360-0734 | 2015-02-23 |
| 1013204734 | Joanna Marie Adkins Bailey | Family Medicine | 585 Appalachian Highway, Pineville, WV 24874-0430 | 2011-07-01 |
| 1720264427 | Hugh D Washburn | Family Medicine | 7521 Highway 28 E, Pineville, LA 71360-9733 | 2008-01-14 |
| 1053488288 | Jonathan S Forester | Family Medicine | 2809 Donahue Ferry Rd, Pineville, LA 71360 | 2006-11-30 |
| 1376645820 | Uzvaltha Ganji | Family Medicine | 2495 Shreveport Hwy # Hwy.71north, Medical Cervise 111, Pineville, LA 71360-4044 | 2006-09-04 |
| 1366550279 | Dominador Yti Lao | Family Medicine | Rt 10 Appalachain Hwy. East Pineville, Pineville, WV 24874-1274 | 2006-08-29 |
| 1225067317 | Family Healthcare Associates Inc | Family Medicine | 113 Main Ave, Pineville, WV 24874-1650 | 2006-07-01 |
| 1295763928 | William Jackson Defee IIi | Family Medicine | 5507 Shreveport Hwy, Pineville, LA 71360-3533 | 2006-06-29 |
| 1609813807 | Shawn Shadell Fugate | Family Medicine | 313 S Cherry St, Pineville, KY 40977-1724 | 2006-05-31 |
| 1063464006 | James Edwards Wallace Jr. | Family Medicine | 1135 Expressway Dr, Suite 200 A, Pineville, LA 71360-6698 | 2006-05-17 |
| Find all providers in PINEVILLE | ||||
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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.