| Mid Missouri Family Health At Fitzgibbon | |
|
2303 S Highway 65 Ste A Marshall MO 65340-3735 | |
| (660) 831-1175 | |
| (660) 831-1195 |
| Full Name | Mid Missouri Family Health At Fitzgibbon |
|---|---|
| Speciality | Clinic/Center |
| Location | 2303 S Highway 65 Ste A, Marshall, Missouri |
| Authorized Official Name and Position | Nancy Harris (CFO/COO) |
| Authorized Official Contact | 6608867431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Missouri Family Health At Fitzgibbon 2305 South 65 Highway Marshall MO 65340-2148 Ph: (660) 831-3759 | Mid Missouri Family Health At Fitzgibbon 2303 S Highway 65 Ste A Marshall MO 65340-3735 Ph: (660) 831-1175 |
| NPI Number | 1134752140 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 2567351570 |
|---|---|
| Medicare Enrollment ID | O20210608002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134752140 | NPI | - | NPPES |
| 500080790 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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