| Ferguson Medical Group Rural Health Center Inc | |
|
320 N Lincoln St East Prairie MO 63845-1160 | |
| (573) 649-3026 | |
| (573) 649-5600 |
| Full Name | Ferguson Medical Group Rural Health Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 N Lincoln St, East Prairie, Missouri |
| Authorized Official Name and Position | James Shill (CEO) |
| Authorized Official Contact | 5734710330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ferguson Medical Group Rural Health Center Inc Po Box 1068 Sikeston MO 63801-5044 Ph: (573) 471-0330 | Ferguson Medical Group Rural Health Center Inc 320 N Lincoln St East Prairie MO 63845-1160 Ph: (573) 649-3026 |
| NPI Number | 1982625802 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982625802 | NPI | - | NPPES |
| 595954116 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
Ferguson Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 N Lincoln St, East Prairie, MO 63845 Phone: 573-649-3026 |