Marble Hill Medical Clinic, Llc | |
307 Broadway St. Marble Hill MO 63764-8321 | |
(573) 238-0038 | |
(573) 238-0042 |
Full Name | Marble Hill Medical Clinic, Llc |
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Speciality | Clinic/Center |
Location | 307 Broadway St., Marble Hill, Missouri |
Authorized Official Name and Position | Suzanne R Matthews (OWNER) |
Authorized Official Contact | 5739868705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marble Hill Medical Clinic, Llc 307 Broadway St. Marble Hill MO 63764-8321 Ph: (573) 238-0038 | Marble Hill Medical Clinic, Llc 307 Broadway St. Marble Hill MO 63764-8321 Ph: (573) 238-0038 |
NPI Number | 1831515907 |
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Provider Enumeration Date | 03/12/2014 |
Last Update Date | 03/12/2014 |
Medicare PECOS PAC ID | 3678704764 |
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Medicare Enrollment ID | O20140822001983 |
Identifier | Type | State | Issuer |
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1831515907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Suzanne R Matthews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194022921 PECOS PAC ID: 0547491748 Enrollment ID: I20140402000563 |
Bollinger County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Hwy 51 N, Marble Hill, MO 63764 Phone: 573-238-2817 Fax: 573-238-3085 | |
Marble Hill Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Broadway St, Marble Hill, MO 63764 Phone: 573-238-0038 Fax: 573-238-0042 | |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Hwy 51 North, Marble Hill, MO 63764 Phone: 573-238-2725 Fax: 573-238-3795 |