| Marshall Family Practice | |
|
2305 South 65 Highway, Building A Marshall MO 65340-3702 | |
| (660) 886-7800 | |
| (660) 831-3328 |
| Full Name | Marshall Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 2305 South 65 Highway, Building A, Marshall, Missouri |
| Authorized Official Name and Position | Nancy Harris (CFO/COO) |
| Authorized Official Contact | 6608867231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Family Practice 2305 South 65 Highway, Building A Marshall MO 65340-3702 Ph: (660) 886-7800 | Marshall Family Practice 2305 South 65 Highway, Building A Marshall MO 65340-3702 Ph: (660) 886-7800 |
| NPI Number | 1093731986 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093731986 | NPI | - | NPPES |
| 268577 | Other | MO | MEDICARE - RHC |
| 1093731986 | Medicaid | MO | |
| 598987600 | Other | MO | MEDICAID - RHC |
| 508291606 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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Mid Missouri Family Health At Fitzgibbon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-831-1175 Fax: 660-831-1195 | |
D. J. Fahnestock, D. C., P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 269 S Jefferson Ave, Marshall, MO 65340 Phone: 660-886-6903 Fax: 660-886-6904 | |
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