| Family Health Center At Marceline | |
|
1600 N Missouri Ave Marceline MO 64658-1012 | |
| (660) 376-2038 | |
| (660) 376-3011 |
| Full Name | Family Health Center At Marceline |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 N Missouri Ave, Marceline, Missouri |
| Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6608908156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center At Marceline 1800 Community Clinton MO 64735-8804 Ph: (606) 885-8131 | Family Health Center At Marceline 1600 N Missouri Ave Marceline MO 64658-1012 Ph: (660) 376-2038 |
| NPI Number | 1407855158 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 1951206754 |
|---|---|
| Medicare Enrollment ID | O20201106002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407855158 | NPI | - | NPPES |
| 508842200 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Dental Center At Marceline Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 N Missouri Ave, Marceline, MO 64658 Phone: 660-376-2038 Fax: 660-376-3011 |